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General NPI Number Information
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NPI Number | 1457541633
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICAL CENTERS, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 2626 EL CAMINO REAL STE B
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City | CARLSBAD
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State | CA
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Zip | 92008-1253
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Country | US
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Telephone | 760-729-2351
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Fax | 760-729-9675
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Provider Business Mailing Address
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Address Line | 477 N. EL CAMINO REAL SUITE A100
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 760-729-2351
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Fax | 760-729-9675
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROBERTA M GORIN
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Credential |
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Telephone | 760-729-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G80982
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | G80982
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License Number State | CA
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