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General NPI Number Information
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NPI Number | 1588692644
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER OF GARDEN GROVE
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 12601 GARDEN GROVE BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1908
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Country | US
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Telephone | 714-537-5160
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Fax |
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Provider Business Mailing Address
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Address Line | FILE 57483
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City | LOS ANGELES
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State | CA
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Zip | 90074-7483
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Country | US
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Telephone | 626-300-4122
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Fax | 714-741-3322
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Authorized Official
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Title or Position | VP OF GOVT PROGRAMS, TENET
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Name | MR. CRAIG C. ARMIN
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Credential |
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Telephone | 310-775-8043
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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 | 060000152
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License Number State | CA
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