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General NPI Number Information
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NPI Number | 1639495591
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Entity Type | Organization
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Legal Business Name | IRVINE FAMILY CLINIC INC
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 18 ENDEAVOR SUITE 203
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City | IRVINE
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State | CA
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Zip | 92618-3164
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Country | US
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Telephone | 949-733-0168
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Fax | 949-733-0161
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Provider Business Mailing Address
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Address Line | 18 ENDEAVOR SUITE 203
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City | IRVINE
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State | CA
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Zip | 92618-3164
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Country | US
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Telephone | 949-733-0168
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Fax | 949-733-0161
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DR. JANET S HUANG
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Credential | D.O.
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Telephone | 949-733-0168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A7467
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License Number State | CA
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