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General NPI Number Information
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NPI Number | 1669475570
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Entity Type | Organization
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Legal Business Name | OCEANVIEW PAIN TREATMENT MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 2650 ELM AVE # 216
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City | LONG BEACH
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State | CA
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Zip | 90806-1651
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Country | US
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Telephone | 562-424-2900
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Fax | 562-424-3200
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Provider Business Mailing Address
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Address Line | 4543 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90804-3119
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Country | US
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Telephone | 562-900-1371
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Fax | 562-494-0047
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ELAINE W. HUTCHISON
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Credential |
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Telephone | 562-900-1371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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