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General NPI Number Information
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NPI Number | 1356614937
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Entity Type | Organization
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Legal Business Name | PROSPICE PHYSICAL MEDICINE CENTERS
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 5630 E SANTA ANA CANYON RD STE. 150
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City | ANAHEIM
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State | CA
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Zip | 92807-3126
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Country | US
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Telephone | 714-476-2073
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Fax | 951-537-6931
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Provider Business Mailing Address
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Address Line | 5630 E SANTA ANA CANYON RD STE. 150
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City | ANAHEIM
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State | CA
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Zip | 92807-3126
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Country | US
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Telephone | 714-476-2073
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Fax | 951-537-6931
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RAMNIK SINGH
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Credential | M.D.
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Telephone | 714-476-2073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | C3420564
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License Number State | CA
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