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General NPI Number Information
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NPI Number | 1811268964
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Entity Type | Organization
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Legal Business Name | TE MEDICAL CENTER, INC
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Dates
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Enumeration Date | 01/21/2012
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 2148 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90804-3408
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Country | US
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Telephone | 562-218-4298
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Fax | 562-218-1480
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Provider Business Mailing Address
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Address Line | 2148 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90804-3408
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Country | US
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Telephone | 562-218-4298
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Fax | 562-218-1480
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEANGLONG TE
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Credential | M.D.
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Telephone | 714-376-2018
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A106386
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License Number State | CA
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