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General NPI Number Information
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NPI Number | 1972840635
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Entity Type | Organization
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Legal Business Name | ALTAMED HEALTH SERVICES
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Dates
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Enumeration Date | 01/14/2013
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 1155 W CENTRAL AVE STE 104-107
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City | SANTA ANA
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State | CA
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Zip | 92707-3165
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Country | US
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Telephone | 714-500-0497
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 W CENTRAL AVE STE 10-107
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City | SANTA ANA
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State | CA
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Zip | 92707-3165
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Country | US
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Telephone | 714-500-0497
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Fax |
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Authorized Official
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Title or Position | WOMENS HEALTH ASSISTANT MANAGER
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Name | MARIA CORREA
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Credential |
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Telephone | 714-500-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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