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General NPI Number Information
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NPI Number | 1972201176
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Entity Type | Individual
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Provider Name | CORINNE JOY KAMRAR PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2023
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 2515 MCCABE WAY STE 350
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City | IRVINE
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State | CA
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Zip | 92614-9403
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Country | US
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Telephone | 949-753-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 7290 EDINGER AVE UNIT 4104
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-0954
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Country | US
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Telephone | 310-504-4012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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