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General NPI Number Information
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NPI Number | 1952463796
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY CARDIO CENTER, INC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 17150 EUCLID ST STE 306
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4092
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Country | US
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Telephone | 714-540-8101
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Fax | 714-966-2966
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Provider Business Mailing Address
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Address Line | 17150 EUCLID ST STE 306
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4092
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Country | US
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Telephone | 714-540-8101
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Fax | 714-966-2966
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GURINDER P SINGH
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Credential |
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Telephone | 714-540-8101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | FNP13333
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License Number State | CA
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