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General NPI Number Information
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NPI Number | 1801073978
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 21530 PIONEER BLVD
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City | HAWAIIAN GARDENS
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State | CA
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Zip | 90716-2608
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Country | US
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Telephone | 310-540-3145
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Fax | 310-540-2306
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Provider Business Mailing Address
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Address Line | 21350 HAWTHORNE BLVD SUITE 274
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City | TORRANCE
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State | CA
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Zip | 90503-5605
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Country | US
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Telephone | 310-540-3145
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Fax | 310-540-2306
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES SADAO HAMADA
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Credential | M.D.
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Telephone | 310-540-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 207X00000X
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 207XS011X
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License Number State | CA
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