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General NPI Number Information
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NPI Number | 1558740753
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Entity Type | Organization
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Legal Business Name | MEDICAL EXAM ASSOICATES
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 14642 NEWPORT AVE #407
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City | TUSTIN
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State | CA
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Zip | 92780-6057
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Country | US
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Telephone | 888-858-1598
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Fax |
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Provider Business Mailing Address
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Address Line | 14642 NEWPORT AVE #407
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City | TUSTIN
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State | CA
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Zip | 92780-6057
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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 | PRESIDENT
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Name | ALBERT SIMPKINS JR.
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Credential | MD
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Telephone | 888-858-1598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | CA
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