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General NPI Number Information
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NPI Number | 1346937133
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Entity Type | Organization
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Legal Business Name | RANCHO MIRAGE PEDIATRICS, INC.
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 35900 BOB HOPE DR STE 140
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1767
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Country | US
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Telephone | 760-770-0000
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Fax | 760-770-2727
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Provider Business Mailing Address
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Address Line | 35900 BOB HOPE DR STE 140
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1767
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Country | US
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Telephone | 760-770-0000
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Fax | 760-770-2727
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER (CEO)
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Name | DR. ARTURO QUINTANILLA
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Credential | MD
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Telephone | 760-770-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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