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General NPI Number Information
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NPI Number | 1073602314
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Entity Type | Organization
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Legal Business Name | ARTHER MEDICAL GROUP
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 851 W FOOTHILL BLVD STE 101
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City | RIALTO
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State | CA
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Zip | 92376-4731
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Country | US
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Telephone | 909-873-3876
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Fax | 909-873-3875
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Provider Business Mailing Address
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Address Line | 851 W FOOTHILL BLVD STE 101
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City | RIALTO
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State | CA
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Zip | 92376-4731
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Country | US
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Telephone | 909-873-3876
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Fax | 909-873-3875
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | EDNA SONIA ARTEAGA-HERNANDEZ
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Credential | M.D.
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Telephone | 909-873-3876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A50128
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A63627
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License Number State | CA
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