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General NPI Number Information
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NPI Number | 1003820358
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Entity Type | Individual
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Provider Name | JUANCHO FRANCISCO CATIBAYAN REMULLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 16177 KAMANA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1377
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Country | US
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Telephone | 760-946-0618
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Fax | 760-946-0584
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Provider Business Mailing Address
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Address Line | 16177 KAMANA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1377
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Country | US
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Telephone | 760-946-0618
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Fax | 760-946-0584
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C52247
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License Number State | CA
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