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General NPI Number Information
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NPI Number | 1902917156
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Entity Type | Organization
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Legal Business Name | SCC MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7232 ORANGETHORPE AVE
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City | BUENA PARK
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State | CA
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Zip | 90621-3312
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Country | US
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Telephone | 714-228-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 7232 ORANGETHORPE AVE
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City | BUENA PARK
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State | CA
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Zip | 90621-3312
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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 | CEO
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Name | DR. EDWARD BUI HAI
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Credential | M.D.
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Telephone | 714-228-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | W15704
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License Number State | CA
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