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General NPI Number Information
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NPI Number | 1548463441
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Entity Type | Organization
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Legal Business Name | THE EPILEPSY CLINICS OF S. CAL
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 361 HOSPITAL RD STE 331
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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 | 949-645-5999
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Fax | 949-223-4237
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Provider Business Mailing Address
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Address Line | 3535 E. COAST HWY #332 ATTN MAIL ROOM
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City | CORONA DEL MAR
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State | CA
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Zip | 92625
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Country | US
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Telephone | 949-645-5999
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Fax | 949-223-4237
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARBARA E. SWARTZ
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Credential | MD, PHD
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Telephone | 949-645-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G046769
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License Number State | CA
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