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General NPI Number Information
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NPI Number | 1033296231
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Entity Type | Organization
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Legal Business Name | SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 29798 HAUN RD SUITE 301
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City | MENIFEE
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State | CA
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Zip | 92586
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Country | US
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Telephone | 951-672-1866
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Fax | 951-672-1886
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Provider Business Mailing Address
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Address Line | 949 CALHOUN PL SUITE F
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City | HEMET
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State | CA
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Zip | 92543-4403
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Country | US
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Telephone | 951-652-5000
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Fax | 951-765-6688
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DENI C MEHTA
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Credential | B.S.
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Telephone | 951-672-1866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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