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General NPI Number Information
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NPI Number | 1184632226
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Entity Type | Organization
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Legal Business Name | STEVE S. OBEREMOK, M.D., INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 720 E LATHAM AVE STE 1
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City | HEMET
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State | CA
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Zip | 92543-4371
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Country | US
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Telephone | 951-658-9461
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Fax | 951-652-7103
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Provider Business Mailing Address
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Address Line | 720 E LATHAM AVE STE 1
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City | HEMET
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State | CA
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Zip | 92543-4371
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Country | US
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Telephone | 951-658-9461
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Fax | 951-652-7103
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STEVE S. OBEREMOK
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Credential | M.D..
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Telephone | 951-658-9461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G23306
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License Number State | CA
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