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General NPI Number Information
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NPI Number | 1447400767
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Entity Type | Organization
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Legal Business Name | SCAN HEALTH PLAN
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 2501 CHERRY AVE SUITE 380
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2031
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Country | US
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Telephone | 562-637-7138
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Fax | 562-492-9236
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Provider Business Mailing Address
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Address Line | 2501 CHERRY AVE SUITE 380
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2031
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Country | US
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Telephone | 562-637-7138
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Fax | 562-492-9236
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Authorized Official
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Title or Position | CEO
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Name | DAVID SCHMIDT
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Credential |
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Telephone | 562-989-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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