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General NPI Number Information
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NPI Number | 1427315621
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Entity Type | Organization
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Legal Business Name | COMMISSION ON MEDICAL CARE
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 4665 BUSINESS CENTER DR
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City | FAIRFIELD
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State | CA
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Zip | 94534-1675
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Country | US
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Telephone | 800-863-4155
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Fax | 707-863-4117
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Provider Business Mailing Address
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Address Line | 4665 BUSINESS CENTER DR
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City | FAIRFIELD
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State | CA
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Zip | 94534-1675
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Country | US
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Telephone | 800-863-4155
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Fax | 707-863-4117
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Authorized Official
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Title or Position | DIRECTOR OF REGULATORY AFFAIRS
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Name | DANIELLE OGREN
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Credential | CHC
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Telephone | 707-419-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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