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General NPI Number Information
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NPI Number | 1598172983
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 16200 EAST AMBER VALLEY DR
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City | WHITTIER
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State | CA
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Zip | 90604
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Country | US
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Telephone | 562-947-8755
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Fax |
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Provider Business Mailing Address
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Address Line | 16200 EAST AMBER VALLEY DR
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City | WHITTIER
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State | CA
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Zip | 90604
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Country | US
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Telephone | 562-947-8755
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TOM ARENDT
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Credential |
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Telephone | 562-947-8755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | DC27574
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License Number State | CA
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