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General NPI Number Information
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NPI Number | 1568669042
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Entity Type | Organization
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Legal Business Name | HARBOR ARTHRITIS AND MEDICAL CLINIC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13872 HARBOR BLVD UNIT 1A
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4000
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Country | US
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Telephone | 714-210-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 13872 HARBOR BLVD UNIT 1A
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4000
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Country | US
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Telephone | 714-210-1300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID D DANG
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Credential | MD
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Telephone | 714-210-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A72475
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License Number State | CA
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