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General NPI Number Information
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NPI Number | 1013179290
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY ASSOCIATES OF INLAND EMPIRE
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 1818 N ORANGE GROVE AVE STE 205
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City | POMONA
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State | CA
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Zip | 91767-3028
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Country | US
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Telephone | 909-623-7355
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Fax |
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Provider Business Mailing Address
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Address Line | 299 W FOOTHILL BLVD STE 212
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City | UPLAND
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State | CA
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Zip | 91786-3804
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Country | US
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Telephone | 909-949-8866
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOHN ALVAREZ
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Credential |
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Telephone | 909-949-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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