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General NPI Number Information
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NPI Number | 1376430678
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Entity Type | Organization
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Legal Business Name | TOBIAS MOELLER-BERTRAM MD CORPORATION
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 12830 HESPERIA ROAD UNITS A-D
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City | VICTORVILLE
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State | CA
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Zip | 92395-7788
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Country | US
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Telephone | 760-684-8999
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Fax | 760-684-8111
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Provider Business Mailing Address
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Address Line | 44630 MONTEREY AVE STE 100
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City | PALM DESERT
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State | CA
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Zip | 92260-3326
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Country | US
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Telephone | 800-285-3755
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TOBIAS MOELLER-BERTRAM
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Credential | MD
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Telephone | 800-285-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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