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General NPI Number Information
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NPI Number | 1922214188
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Entity Type | Organization
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Legal Business Name | ANAHEIM HEALTH CARE CENTER
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1125 N MAGNOLIA AVE SUIET 115
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City | ANAHEIM
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State | CA
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Zip | 92801-2638
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Country | US
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Telephone | 714-484-1280
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Fax | 714-484-1358
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Provider Business Mailing Address
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Address Line | 1125 N MAGNOLIA AVE SUIET 115
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City | ANAHEIM
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State | CA
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Zip | 92801-2638
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Country | US
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Telephone | 714-484-1280
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Fax | 714-484-1358
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Authorized Official
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Title or Position | PRIMERY CARE PHYSICIAN
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Name | DR. JUK L TING
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Credential | D.O
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Telephone | 714-484-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A7323
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License Number State | CA
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