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General NPI Number Information
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NPI Number | 1750521035
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Entity Type | Organization
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Legal Business Name | PROGEN AUTOTRANSFUSION/CORONARY SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 2764 SAN FRANCISCO AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2550
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Country | US
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Telephone | 949-464-9600
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Fax | 562-424-5895
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Provider Business Mailing Address
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Address Line | 15333 CULVER DR SUITE 340-181
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City | IRVINE
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State | CA
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Zip | 92604-3078
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Country | US
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Telephone | 949-464-9600
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Fax | 562-424-5895
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Authorized Official
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Title or Position | CEO
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Name | MS. GEORGINA BELLMAR
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Credential |
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Telephone | 949-464-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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