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General NPI Number Information
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NPI Number | 1295611390
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Entity Type | Organization
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Legal Business Name | ASPEN VIEW URGENT CARE INC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 8250 WHITE OAK AVE STE 106
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7679
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Country | US
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Telephone | 909-360-4722
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Fax | 909-360-4721
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Provider Business Mailing Address
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Address Line | 8250 WHITE OAK AVE STE 106
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7679
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Country | US
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Telephone | 909-360-4722
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Fax | 909-360-4721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAREK EZZEDDINE
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Credential | MD
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Telephone | 909-360-3124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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