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General NPI Number Information
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NPI Number | 1841620689
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY HEALTH CARE AGENCY
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 550 N. FLOWER STREET
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City | SANTA ANA
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State | CA
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Zip | 92706
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Country | US
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Telephone | 714-647-6092
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N FLOWER ST
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City | SANTA ANA
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State | CA
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Zip | 92703-2361
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Country | US
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Telephone | 714-647-6092
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MR. TONY PRICE
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Credential | RN
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Telephone | 714-647-6092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number | 477190
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License Number State | CA
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