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General NPI Number Information
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NPI Number | 1306495130
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Entity Type | Individual
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Provider Name | ERIC J KING PA-C, MPH
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Gender | Male
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-340-3911
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Fax | 760-773-1632
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Provider Business Mailing Address
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Address Line | 39000 BOB HOPE DR
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-340-3911
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Fax | 760-773-1632
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA61087470
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 66118
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License Number State | CA
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