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General NPI Number Information
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NPI Number | 1700942760
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Entity Type | Organization
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Legal Business Name | CITY OF CORONA
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/21/2008
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Provider Practice Location Address
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Address Line | 815 W 6TH ST
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City | CORONA
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State | CA
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Zip | 92882-3288
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Country | US
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Telephone | 951-736-2460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | ALAMEDA
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State | CA
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Zip | 94501-9610
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Country | US
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Telephone | 951-736-2460
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Fax |
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Authorized Official
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Title or Position | BATTALION CHIEF
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Name | MIKE SAMUELS
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Credential |
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Telephone | 951-736-2460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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