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General NPI Number Information
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NPI Number | 1548086036
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Entity Type | Organization
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Legal Business Name | VMEDICAL CENTER PC
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 13030 HOOVER ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-2388
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Country | US
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Telephone | 714-588-0209
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Fax |
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Provider Business Mailing Address
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Address Line | 13030 HOOVER ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-2388
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Country | US
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Telephone | 714-588-0209
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | TIM DOLE
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Credential |
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Telephone | 714-725-5678
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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 |
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License Number State |
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