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General NPI Number Information
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NPI Number | 1780952523
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Entity Type | Organization
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Legal Business Name | SOUTHWEST HEALTHCARE MANAGEMENT
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 36 IRON BARK
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City | ALISO VIEJO
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State | CA
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Zip | 92656-2169
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Country | US
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Telephone | 949-910-6210
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Fax | 949-288-6203
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Provider Business Mailing Address
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Address Line | PO BOX 1330
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City | LAKE FOREST
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State | CA
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Zip | 92609-1330
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Country | US
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Telephone | 949-910-6210
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Fax | 949-288-6203
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Authorized Official
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Title or Position | INTERPRETING COMPANY
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Name | MS. NASER KHANEKI SR.
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Credential |
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Telephone | 949-609-9244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | CA
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