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General NPI Number Information
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NPI Number | 1285957043
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Entity Type | Organization
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Legal Business Name | HIGH DESERT BUSINESS ASSOCIATES INC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 17868 US HIGHWAY 18 #211
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1267
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Country | US
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Telephone | 760-810-0992
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Fax | 760-810-0993
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Provider Business Mailing Address
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Address Line | 17868 US HIGHWAY 18 #211
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1267
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Country | US
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Telephone | 760-946-8870
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Fax | 760-946-8818
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANNY COLTON
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Credential | MD
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Telephone | 760-946-8870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A74120
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License Number State | CA
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