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General NPI Number Information
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NPI Number | 1912304999
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Entity Type | Organization
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Legal Business Name | 1ST MEDICAL HEALTH PC
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 801 S CHEVY CHASE DR STE 103
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City | GLENDALE
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State | CA
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Zip | 91205-4437
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Country | US
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Telephone | 818-554-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S CHEVY CHASE DR STE 103
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City | GLENDALE
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State | CA
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Zip | 91205-4437
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Country | US
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Telephone | 818-554-4456
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABEL RAMOS
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Credential | D.O.
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Telephone | 818-554-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A11277
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License Number State | CA
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