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General NPI Number Information
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NPI Number | 1518951300
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Entity Type | Organization
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Legal Business Name | HOAG MEMORIAL HOSPITAL PRESBYTERIAN
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | ONE HOAG DRIVE
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City | NEWPORT BEACH
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State | CA
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Zip | 92663
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Country | US
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Telephone | 949-764-4624
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOAG DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-4624
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ROBERT BRAITHWAITE
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Credential |
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Telephone | 949-764-4410
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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 | 060000122
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License Number State | CA
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