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General NPI Number Information
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NPI Number | 1447821285
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Entity Type | Organization
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Legal Business Name | USC CARE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 2011 ZONAL AVE STE 301
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City | LOS ANGELES
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State | CA
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Zip | 90089-1016
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Country | US
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Telephone | 323-442-9879
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31309
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City | LOS ANGELES
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State | CA
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Zip | 90031-0309
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Country | US
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Telephone | 323-442-9879
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Fax |
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Authorized Official
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Title or Position | VICE CHAIR
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Name | NARSING A RAO
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Credential | MD
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Telephone | 323-442-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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