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General NPI Number Information
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NPI Number | 1346363801
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Entity Type | Organization
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Legal Business Name | R S BIR MD INC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 717 E HOLT BLVD
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City | ONTARIO
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State | CA
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Zip | 91761-1851
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Country | US
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Telephone | 909-421-2121
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Fax | 909-421-0491
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Provider Business Mailing Address
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Address Line | 280 N RIVERSIDE AVE
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City | RIALTO
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State | CA
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Zip | 92376-5924
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Country | US
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Telephone | 909-421-2121
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Fax | 909-421-0491
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. RINA CONTRERAS
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Credential |
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Telephone | 909-421-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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