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General NPI Number Information
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NPI Number | 1437528643
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Entity Type | Organization
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Legal Business Name | FIRST CARE MEDICAL CORP
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 4702 W 1ST ST SUITE C
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City | SANTA ANA
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State | CA
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Zip | 92703-3100
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Country | US
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Telephone | 657-245-3345
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Fax | 657-202-2001
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Provider Business Mailing Address
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Address Line | 3760 W MCFADDEN AVE UNIT B-145
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City | SANTA ANA
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State | CA
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Zip | 92704-1392
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Country | US
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Telephone | 657-245-3345
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Fax | 657-202-2001
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Authorized Official
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Title or Position | PRESIDENT
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Name | QUYNAM P NGUYEN
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Credential | MD
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Telephone | 657-245-3345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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