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General NPI Number Information
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NPI Number | 1649608167
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Entity Type | Organization
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Legal Business Name | MULTICARE HEALTH CENTER
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 2010 WILSHIRE BLVD SUITE 809
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City | LOS ANGELES
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State | CA
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Zip | 90057-3507
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Country | US
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Telephone | 213-252-1985
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Fax | 213-252-1986
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Provider Business Mailing Address
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Address Line | 2010 WILSHIRE BLVD SUITE 809
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City | LOS ANGELES
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State | CA
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Zip | 90057-3507
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Country | US
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Telephone | 213-252-1985
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Fax | 213-252-1986
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TIFFANY NGUYEN
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Credential |
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Telephone | 213-252-1985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27942
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A76500
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | BR784451
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License Number State | CA
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