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General NPI Number Information
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NPI Number | 1942574843
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Entity Type | Organization
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Legal Business Name | ACCESS HEALTH CALIFORNIA, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 9 W 41ST AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-5105
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Country | US
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Telephone | 650-286-1966
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Fax |
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Provider Business Mailing Address
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Address Line | 9 W 41ST AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-5105
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Country | US
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Telephone | 650-286-1966
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RENEE MARSHALL
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Credential | M.D.
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Telephone | 650-286-1966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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