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General NPI Number Information
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NPI Number | 1912547472
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Entity Type | Organization
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Legal Business Name | PATAGONIA MEDICAL HEALTH & ACQUISITIONS
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 1531 LOMITA BLVD
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City | HARBOR CITY
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State | CA
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Zip | 90710-2024
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Country | US
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Telephone | 310-530-9325
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Fax | 310-530-9303
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Provider Business Mailing Address
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Address Line | 1531 LOMITA BLVD
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City | HARBOR CITY
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State | CA
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Zip | 90710-2024
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Country | US
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Telephone | 310-530-9325
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Fax | 310-530-9303
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. DIEGO IVAN KRIGER
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Credential | MD
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Telephone | 951-288-7191
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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 |
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License Number State |
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