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General NPI Number Information
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NPI Number | 1225798127
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Entity Type | Organization
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Legal Business Name | PIH HEALTH PHYSICIANS
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 7777 MILLIKEN AVE SUITE 330
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6780
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Country | US
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Telephone | 909-883-5315
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Fax | 909-883-5399
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Provider Business Mailing Address
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Address Line | PO BOX 1277
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City | WHITTIER
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State | CA
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Zip | 90609-1277
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Country | US
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Telephone | 562-789-5401
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEITH S. MIYAMOTO
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Credential | M.D.
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Telephone | 562-789-5401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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