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General NPI Number Information
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NPI Number | 1316754278
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN BERNARDINO
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 9500 ETIWANDA AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-9679
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Country | US
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Telephone | 909-463-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 655 E 3RD ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92415-0061
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Country | US
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Telephone | 909-463-5000
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Fax |
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Authorized Official
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Title or Position | HEALTH SERVICES ADMINISTRATOR
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Name | SARA MANNING
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Credential | BSN, RN, CCHP
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Telephone | 909-463-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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