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General NPI Number Information
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NPI Number | 1871993691
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Entity Type | Organization
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Legal Business Name | ABSOLUTE MEDICAL
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 12417 FAIR OAKS BLVD SUITE # 600
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City | FAIR OAKS
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State | CA
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Zip | 95628-2501
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Country | US
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Telephone | 916-727-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 12417 FAIR OAKS BLVD SUITE # 600
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City | FAIR OAKS
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State | CA
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Zip | 95628-2501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MASARU OSHITA
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Credential | M.D.
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Telephone | 916-727-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | A98701
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License Number State | CA
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