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General NPI Number Information
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NPI Number | 1457991267
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Entity Type | Organization
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Legal Business Name | PACIFIC COAST FAMILY MEDICINE
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 3816 WOODRUFF AVE STE 410
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City | LONG BEACH
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State | CA
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Zip | 90808-2146
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Country | US
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Telephone | 502-297-2659
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Fax |
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Provider Business Mailing Address
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Address Line | 3735 GAVIOTA AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-4328
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Country | US
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Telephone | 502-297-2659
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. KATHRYN M SCHAT
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Credential | MD
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Telephone | 502-297-2659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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