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General NPI Number Information
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NPI Number | 1326205097
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Entity Type | Organization
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Legal Business Name | HOAG HOSPITAL
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 122 LESSAY
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City | NEWPORT COAST
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State | CA
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Zip | 92657-1017
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Country | US
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Telephone | 949-764-6553
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOAG DR CARDIOLOGY
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-6553
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD AFABLE
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Credential | M.D
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Telephone | 949-645-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 434593
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License Number State | CA
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