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General NPI Number Information
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NPI Number | 1639717622
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH PHYSICIANS NETWORK
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 135 MACAW LN STE 210
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3153
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Country | US
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Telephone | 805-306-0222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 398794
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-8794
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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 | CFO
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Name | ADRIAN SERNA
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Credential |
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Telephone | 916-865-1887
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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 |
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License Number State |
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