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General NPI Number Information
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NPI Number | 1467376087
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Entity Type | Organization
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Legal Business Name | PACIFIC GEN LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 3415 MCLAUGHLIN AVE APT 107
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City | LOS ANGELES
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State | CA
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Zip | 90066-2042
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Country | US
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Telephone | 902-703-4756
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 MCLAUGHLIN AVE APT 107
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City | LOS ANGELES
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State | CA
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Zip | 90066-2042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JACOB MORGAN
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Credential |
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Telephone | 902-703-4756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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