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General NPI Number Information
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NPI Number | 1396147419
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Entity Type | Organization
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Legal Business Name | AAA FAMILY MEDICAL GROUP
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 11949 HESPERIA RD STE B
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City | HESPERIA
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State | CA
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Zip | 92345-2181
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Country | US
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Telephone | 760-242-5111
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Fax | 760-418-6486
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Provider Business Mailing Address
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Address Line | 820 N MOUNTAIN AVE STE 103
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City | UPLAND
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State | CA
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Zip | 91786-4163
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Country | US
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Telephone | 909-236-5575
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Fax | 909-222-6936
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOSEPHINE B MONTANA
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Credential | M.D
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Telephone | 862-252-0531
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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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