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General NPI Number Information
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NPI Number | 1477690154
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Entity Type | Organization
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Legal Business Name | DOCTORS CARE MEDICAL GROUP INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 26534 MOULTON PKWY STE E
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-8241
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Country | US
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Telephone | 949-831-1001
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Fax | 949-831-0873
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Provider Business Mailing Address
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Address Line | 26534 MOULTON PKWY STE E
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-8241
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Country | US
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Telephone | 949-831-1001
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Fax | 949-831-0873
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GREG E BARRON
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Credential | MD
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Telephone | 949-831-1001
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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 | G55471
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License Number State | CA
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