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General NPI Number Information
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NPI Number | 1043575459
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Entity Type | Organization
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Legal Business Name | RANCHO CUCAMONGA MEDICAL CENTER
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 7388 CARNELIAN ST STE D
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1160
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Country | US
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Telephone | 909-945-9982
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Fax |
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Provider Business Mailing Address
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Address Line | 7388 CARNELIAN ST STE D
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1160
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SARIAH VEIRS
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Credential |
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Telephone | 909-945-9982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | CA
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Taxonomy #2
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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 | CA
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State | CA
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