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General NPI Number Information
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NPI Number | 1154772259
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Entity Type | Organization
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Legal Business Name | RIMPAU MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 1451 S. RIMPAU AVE SUITE 109
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City | CORONA
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State | CA
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Zip | 92879-7521
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Country | US
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Telephone | 951-356-5834
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Fax | 951-356-5844
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Provider Business Mailing Address
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Address Line | 1451 S. RIMPAU AVE SUITE 109
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City | CORONA
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State | CA
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Zip | 92879-7521
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Country | US
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Telephone | 951-356-5834
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Fax | 951-356-5844
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER OCALAPLAPIT
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Credential | PA
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Telephone | 951-356-5834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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