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NPI 1134727399

NPI 1134727399 : MATEI CHELBEGEAN : SAN BERNARDINO, CA

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General NPI Number Information
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    NPI Number           |    1134727399
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    Entity Type          |    Individual 
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    Provider Name        |    MATEI CHELBEGEAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2020
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    2582 S YOUNG CT 
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92408-4197
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    Country              |    US
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    Telephone            |    909-855-8057
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8477 N DEL MAR AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93711-6020
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    Country              |    US
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    Telephone            |    909-855-8057
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    95001498
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    757521
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    License Number State |    CA
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