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General NPI Number Information
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NPI Number | 1073783239
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN BERNARDINO
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 303 EAST MOUNTAIN VIEW STREET
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City | BARSTOW
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State | CA
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Zip | 92311-2840
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Country | US
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Telephone | 760-256-4715
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Fax |
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Provider Business Mailing Address
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Address Line | 451 E VANDERBILT WAY STE 400
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3614
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Country | US
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Telephone | 909-387-6218
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Fax | 909-387-6228
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. MICHAEL A. SEQUEIRA
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Credential | MD
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Telephone | 909-387-6218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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