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General NPI Number Information
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NPI Number | 1447317797
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Entity Type | Organization
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Legal Business Name | DONALD M EHMAN M.D. INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 197 W LEGION RD STE 300
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City | BRAWLEY
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State | CA
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Zip | 92227-7728
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Country | US
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Telephone | 760-344-7750
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Fax | 760-344-1410
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Provider Business Mailing Address
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Address Line | PO BOX 1300
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City | BRAWLEY
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State | CA
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Zip | 92227-1300
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Country | US
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Telephone | 760-344-7750
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Fax | 760-344-1410
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Authorized Official
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Title or Position | CFO, CHIEF FINANCIAL OFFICER
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Name | MR. THOMAS THETFORD
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Credential |
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Telephone | 760-344-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A17408
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License Number State | CA
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