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General NPI Number Information
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NPI Number | 1174880835
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Entity Type | Organization
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Legal Business Name | DIEGO F FERRO MD INC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 420 W ACACIA ST SUITE 1
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City | STOCKTON
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State | CA
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Zip | 95203-2441
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Country | US
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Telephone | 209-948-1583
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Fax | 209-948-3564
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Provider Business Mailing Address
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Address Line | 420 W ACACIA ST SUITE 1
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City | STOCKTON
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State | CA
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Zip | 95203-2441
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Country | US
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Telephone | 209-948-1583
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Fax | 209-948-3564
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DIEGO F FERRO
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Credential | MD
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Telephone | 209-948-1583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A106012
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License Number State | CA
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