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General NPI Number Information
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NPI Number | 1568630622
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Entity Type | Organization
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Legal Business Name | LOMA LINDA UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 8265 E BLACKWILLOW CIR APT. 112
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City | ANAHEIM
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State | CA
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Zip | 92808-1958
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Country | US
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Telephone | 714-637-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 11234 ANDERSON ST HOUSE STAFF OFFICE CP 21005
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City | LOMA LINDA
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State | CA
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Zip | 92354-2804
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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 | RESIDENT PHYSICIAN
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Name | NEDA MEHR
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Credential | M.D.
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Telephone | 949-413-7336
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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 |
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License Number State |
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