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General NPI Number Information
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NPI Number | 1376914788
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH PHYSICIANS NETWORK
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 1142 ROSE AVE SUITE B
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City | SELMA
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State | CA
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Zip | 93662-3251
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Country | US
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Telephone | 559-856-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 E CHEVY CHASE DR STE 110
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City | GLENDALE
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State | CA
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Zip | 91206-4139
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Country | US
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Telephone | 818-265-5411
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ADRIAN SERNA
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Credential |
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Telephone | 916-865-1865
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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 |
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License Number State |
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