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General NPI Number Information
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NPI Number | 1356722177
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Entity Type | Organization
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Legal Business Name | WEST COAST ORTHOPEDICS
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 2700 N MAIN ST #400
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City | SANTA ANA
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State | CA
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Zip | 92705-6634
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Country | US
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Telephone | 949-287-3231
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Fax | 714-916-5733
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Provider Business Mailing Address
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Address Line | 2700 N. MAIN ST #400
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City | SANTA ANA
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State | CA
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Zip | 92705-6602
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Country | US
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Telephone | 949-287-3231
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Fax | 714-916-5733
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J PHILLIPS
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Credential | MD
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Telephone | 949-287-3231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A85057
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License Number State | CA
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