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General NPI Number Information
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NPI Number | 1467632414
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Entity Type | Organization
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Legal Business Name | SUSAN BIEGEL MD INC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 1004 W FOOTHILL BLVD STE 200
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City | UPLAND
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State | CA
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Zip | 91786-3774
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Country | US
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Telephone | 909-985-1908
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Fax | 909-963-1800
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Provider Business Mailing Address
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Address Line | 1004 W FOOTHILL BLVD STE 200
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City | UPLAND
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State | CA
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Zip | 91786-3774
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Country | US
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Telephone | 909-985-1908
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Fax | 909-963-1800
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN CHRISTINE BIEGEL
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Credential | M.D
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Telephone | 909-985-1908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G66575
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License Number State | CA
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