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General NPI Number Information
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NPI Number | 1962433409
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Entity Type | Organization
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Legal Business Name | JAMIE C. OEY M.D., INC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 10800 PARAMOUNT BLVD SUITE 302
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City | DOWNEY
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State | CA
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Zip | 90241-3331
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Country | US
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Telephone | 562-861-9142
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Fax | 562-861-9143
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Provider Business Mailing Address
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Address Line | 10800 PARAMOUNT BLVD SUITE 302
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City | DOWNEY
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State | CA
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Zip | 90241-3331
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Country | US
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Telephone | 562-861-9142
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Fax | 562-861-9143
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE CARISSA OEY
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Credential | M.D.
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Telephone | 562-861-9142
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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 | A53553
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License Number State | CA
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