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General NPI Number Information
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NPI Number | 1407845092
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Entity Type | Organization
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Legal Business Name | TEMECULA VALLEY EMERGENCY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 28062 BAXTER RD
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City | MURRIETA
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State | CA
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Zip | 92563-1401
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Country | US
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Telephone | 951-290-4108
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Fax | 951-290-4944
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Provider Business Mailing Address
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Address Line | 7725 W RENO AVE SUITE 150
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-9742
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Country | US
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Telephone | 800-962-3303
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Fax | 305-929-0765
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Authorized Official
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Title or Position | PARTNER/FINANCIAL DIRECTOR
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Name | THOMAS C BAUGH
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Credential | D.O.
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Telephone | 951-696-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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