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General NPI Number Information
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NPI Number | 1164063897
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Entity Type | Organization
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Legal Business Name | INLAND EMPIRE MEDICAL GROUP INC.
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 1550 E WASHINGTON ST # 101
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City | COLTON
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State | CA
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Zip | 92324-4624
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Country | US
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Telephone | 800-418-0850
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 E WASHINGTON ST # 101
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City | COLTON
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State | CA
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Zip | 92324-4624
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Country | US
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Telephone | 800-418-0850
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DERON A GILLIARD
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Credential |
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Telephone | 909-581-5447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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