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General NPI Number Information
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NPI Number | 1962625202
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH HOSPITAL OF ORANGE
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 353 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-3833
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Country | US
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Telephone | 714-771-8006
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Fax | 714-744-8630
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Provider Business Mailing Address
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Address Line | 353 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-3833
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Country | US
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Telephone | 714-771-8006
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Fax | 714-744-8630
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ALAN H GARRETT
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Credential |
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Telephone | 714-771-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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