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General NPI Number Information
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NPI Number | 1326350802
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Entity Type | Organization
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Legal Business Name | AMERICAN ACCESS CARE OF SAN DIEGO, LLC
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 995 GATEWAY CENTER WAY SUITE 207
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City | SAN DIEGO
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State | CA
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Zip | 92102-4500
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Country | US
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Telephone | 619-263-9729
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Fax |
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Provider Business Mailing Address
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Address Line | 182 INDUSTRIAL RD
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City | GLEN ROCK
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State | PA
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Zip | 17327-8626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RAYMOND FIGUEROA
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Credential |
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Telephone | 717-235-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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