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General NPI Number Information
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NPI Number | 1891252474
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Entity Type | Organization
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Legal Business Name | MIGUEL PUIG MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 1430 ESPLANADE STE 10
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City | CHICO
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State | CA
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Zip | 95926-3366
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Country | US
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Telephone | 530-898-1201
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Fax | 530-894-3613
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Provider Business Mailing Address
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Address Line | PO BOX 3302
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City | CHICO
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State | CA
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Zip | 95927-3302
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Country | US
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Telephone | 530-894-3278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL PUIG
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Credential | MD
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Telephone | 530-894-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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