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General NPI Number Information
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NPI Number | 1659566412
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Entity Type | Organization
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Legal Business Name | UNITED INTERNATIONAL HELTH NET, INC.
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 642 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-5727
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Country | US
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Telephone | 619-425-5083
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3220
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City | CHULA VISTA
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State | CA
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Zip | 91909-3220
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Country | US
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Telephone | 619-425-5083
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Fax | 619-423-5453
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Authorized Official
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Title or Position | PRESIDENT
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Name | CELIA GLORIA DIAZ
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Credential |
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Telephone | 619-425-5083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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