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General NPI Number Information
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NPI Number | 1427733914
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Entity Type | Organization
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Legal Business Name | CAMPUS PHYSICIANS OF CALIFORNIA, P.C.
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 619-335-5259
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Fax | 619-872-2498
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Provider Business Mailing Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 619-335-5259
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Fax | 619-872-2498
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH LEE
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Credential | MD
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Telephone | 773-807-0905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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