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General NPI Number Information
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NPI Number | 1467402149
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Entity Type | Organization
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Legal Business Name | INLAND OB-GYN ASSOCIATES A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 401 E HIGHLAND AVE STE 450
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3803
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Country | US
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Telephone | 909-882-4605
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Fax | 909-882-3265
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Provider Business Mailing Address
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Address Line | PO BOX 10488
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-0488
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Country | US
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Telephone | 909-335-7171
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Fax | 909-335-7130
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. KEITH A. SCHAUERMANN
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Credential | M.D.
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Telephone | 909-882-4605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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