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NPI 1386111789

NPI 1386111789 : THE BIOLOGY CONNECT, INC : MORENO VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1386111789
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE BIOLOGY CONNECT, INC 
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Dates
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    Enumeration Date     |    10/24/2018
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    Last Update Date     |    10/24/2018
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Provider Practice Location Address
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    Address Line         |    10644 RIDGEFIELD TER 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92557-3805
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    Country              |    US
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    Telephone            |    415-637-0686
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10644 RIDGEFIELD TER 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92557-3805
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    Country              |    US
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    Telephone            |    415-637-0686
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. AIMIE  APIGIAN 
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    Credential           |    M.D.
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    Telephone            |    415-637-0686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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