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General NPI Number Information
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NPI Number | 1295975787
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Entity Type | Organization
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Legal Business Name | LINDA HILLEBRAND D.O. INC
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 10837 LAUREL ST STE 206
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7643
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Country | US
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Telephone | 909-989-2700
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Fax | 909-989-2759
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Provider Business Mailing Address
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Address Line | 310 N INDIAN HILL BLVD STE 333
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City | CLAREMONT
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State | CA
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Zip | 91711-4611
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Country | US
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Telephone | 909-989-2700
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Fax | 909-989-2759
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Authorized Official
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Title or Position | OWNER
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Name | DR. LINDA MARIE HILLEBRAND
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Credential | D.O.
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Telephone | 909-989-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A7077
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License Number State | CA
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