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General NPI Number Information
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NPI Number | 1184322497
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Entity Type | Organization
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Legal Business Name | CVG URGENT CARE AND INFUSION CENTER
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 500 W SAN BERNARDINO RD STE B
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City | COVINA
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State | CA
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Zip | 91722-3797
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Country | US
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Telephone | 626-695-9371
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Fax | 818-671-3521
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Provider Business Mailing Address
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Address Line | 500 W SAN BERNARDINO RD STE B
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City | COVINA
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State | CA
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Zip | 91722-3797
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Country | US
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Telephone | 626-695-9371
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Fax | 818-671-3521
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON JENG
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Credential | MD
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Telephone | 626-695-9371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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