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General NPI Number Information
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NPI Number | 1427186444
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Entity Type | Organization
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Legal Business Name | DESERT VISION CENTER MEDICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR W105
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-340-4700
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Fax | 760-568-2490
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Provider Business Mailing Address
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Address Line | 39000 BOB HOPE DR W105
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-340-4700
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Fax | 760-568-2490
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEONARD SCHWARTZ
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Credential | M.D.
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Telephone | 760-340-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G310350
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License Number State | CA
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