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General NPI Number Information
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NPI Number | 1477350965
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Entity Type | Organization
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Legal Business Name | HIGH DESERT GENERAL SURGERY, PC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 13010 HESPERIA RD STE 400
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City | VICTORVILLE
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State | CA
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Zip | 92395-8315
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Country | US
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Telephone | 248-686-9973
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Fax |
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Provider Business Mailing Address
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Address Line | 11133 MARTINGALE WAY
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-1818
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Country | US
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Telephone | 248-686-9973
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MITESH PATEL
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Credential | MD
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Telephone | 248-686-9973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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