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General NPI Number Information
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NPI Number | 1811564479
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Entity Type | Organization
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Legal Business Name | ASCADA HEALTH PC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 301 W BASTANCHURY RD STE 220
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City | FULLERTON
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State | CA
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Zip | 92835-3424
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Country | US
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Telephone | 657-230-7337
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Fax | 657-272-7720
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Provider Business Mailing Address
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Address Line | 301 W BASTANCHURY RD STE 220
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City | FULLERTON
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State | CA
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Zip | 92835-3424
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Country | US
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Telephone | 657-230-7337
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Fax | 657-272-7720
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN OEI
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Credential |
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Telephone | 657-295-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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