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General NPI Number Information
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NPI Number | 1669680443
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Entity Type | Organization
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Legal Business Name | AURORA MEDICAL CENTER OF SAN FERNANDO, INC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 405 N MACLAY AVE SUITE # 104
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2445
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Country | US
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Telephone | 818-361-3318
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Fax | 818-361-7309
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Provider Business Mailing Address
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Address Line | 405 N MACLAY AVE SUITE # 104
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2445
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Country | US
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Telephone | 818-361-3318
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Fax | 818-361-7309
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RACHEL LONG
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Credential | M.D.
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Telephone | 415-244-7404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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