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General NPI Number Information
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NPI Number | 1538761879
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Entity Type | Organization
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Legal Business Name | NORTHERN MEDICAL CORP
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 2357 POST ST
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City | PALM SPRINGS
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State | FL
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Zip | 33406-3603
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Country | US
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Telephone | 561-459-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 2357 POST ST
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City | PALM SPRINGS
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State | FL
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Zip | 33406-3603
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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 | MEMBER
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Name | JONATHAN CORDERO
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Credential |
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Telephone | 561-459-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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