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General NPI Number Information
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NPI Number | 1831446848
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Entity Type | Organization
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Legal Business Name | UNITED VASCULAR ACCESS CENTER CORP
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 3010 W ORANGE AVE SUITE 500
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City | ANAHEIM
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State | CA
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Zip | 92804-3169
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Country | US
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Telephone | 714-978-4700
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Fax | 174-408-9719
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Provider Business Mailing Address
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Address Line | 3010 W ORANGE AVE SUITE 500
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City | ANAHEIM
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State | CA
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Zip | 92804-3169
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Country | US
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Telephone | 714-978-4700
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Fax | 714-408-9719
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN ALLMOND
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Credential |
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Telephone | 714-978-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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