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General NPI Number Information
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NPI Number | 1417075029
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Entity Type | Organization
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Legal Business Name | CRIS ARMADA JR. D.O.INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 10399 LEMON AVE STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3771
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Country | US
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Telephone | 909-373-0216
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Fax | 909-373-1902
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Provider Business Mailing Address
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Address Line | 10399 LEMON AVE STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3771
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Country | US
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Telephone | 909-373-0216
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Fax | 909-373-1902
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CRIS A ARMADA JR.
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Credential | D.O.
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Telephone | 909-373-0216
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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 | 20A5158
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License Number State | CA
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