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General NPI Number Information
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NPI Number | 1881908812
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Entity Type | Organization
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Legal Business Name | MONARC INCORPORATED
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 21414 S VERMONT AVE C/O HERITAGE REHABILATION CENTER
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City | TORRANCE
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State | CA
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Zip | 90502-1935
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Country | US
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Telephone | 310-720-1832
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Fax | 323-785-1232
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Provider Business Mailing Address
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Address Line | 23049 ARCHIBALD AVE
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City | CARSON
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State | CA
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Zip | 90745-4718
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Country | US
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Telephone | 310-720-1832
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Fax | 323-785-1282
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK N SAMONTE
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Credential | M.D.
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Telephone | 310-720-1832
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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 | A98537
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License Number State | CA
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