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General NPI Number Information
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NPI Number | 1508939349
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Entity Type | Organization
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Legal Business Name | HEMET VALLEY MEDICAL CENTER
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 1117 E DEVONSHIRE AVE
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-652-2811
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Fax | 951-925-6323
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Provider Business Mailing Address
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Address Line | 1117 E DEVONSHIRE AVE
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-652-2811
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Fax | 951-925-6323
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Authorized Official
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Title or Position | CFO INTERIM CEO
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Name | MR. MICHAEL M GARKO
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Credential | CPA
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Telephone | 951-766-6472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 250000145
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License Number State | CA
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