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General NPI Number Information
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NPI Number | 1386155166
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Entity Type | Organization
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Legal Business Name | INLAND NEPHROLOGY MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 251 CAJON ST STE B
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City | REDLANDS
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State | CA
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Zip | 92373-5260
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Country | US
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Telephone | 909-793-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 251 CAJON ST STE B
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City | REDLANDS
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State | CA
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Zip | 92373-5260
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BELINDA WEIR
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Credential |
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Telephone | 909-793-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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