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General NPI Number Information
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NPI Number | 1184028557
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Entity Type | Organization
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Legal Business Name | HERMAN A CARSTENS MD CLINIC OF OBSTETRICS AND GYNECOLOGY P C
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 6926 BROCKTON AVE SUITE 7
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City | RIVERSIDE
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State | CA
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Zip | 92506-3800
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Country | US
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Telephone | 951-686-8600
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Fax | 951-686-8656
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Provider Business Mailing Address
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Address Line | 6926 BROCKTON AVE SUITE 7
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City | RIVERSIDE
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State | CA
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Zip | 92506-3800
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Country | US
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Telephone | 951-686-8600
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Fax | 951-686-8656
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERMAN A CARSTENS
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Credential | M D, INC
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Telephone | 951-686-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A34747
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License Number State | CA
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