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General NPI Number Information
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NPI Number | 1679769210
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Entity Type | Organization
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Legal Business Name | BE WELL FAMILY HEALTH CARE, INC.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 587 E ELDER ST
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City | FALLBROOK
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State | CA
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Zip | 92028-3088
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Country | US
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Telephone | 760-731-9860
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Fax | 760-731-9852
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Provider Business Mailing Address
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Address Line | 587 E ELDER ST
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City | FALLBROOK
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State | CA
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Zip | 92028-3088
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Country | US
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Telephone | 760-731-9860
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Fax | 760-731-9852
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN J SORCI
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Credential | S.D., M.D.
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Telephone | 760-731-9860
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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 | A84809
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License Number State | CA
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