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General NPI Number Information
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NPI Number | 1508507229
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Entity Type | Organization
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Legal Business Name | REMEDIAL PATIENTS CARE INC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 1451 RIMPAU AVE STE 213
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City | CORONA
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State | CA
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Zip | 92879-7522
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Country | US
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Telephone | 951-268-6272
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Fax | 951-530-8973
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Provider Business Mailing Address
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Address Line | 1451 RIMPAU AVE STE 213
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City | CORONA
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State | CA
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Zip | 92879-7522
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Country | US
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Telephone | 951-268-6272
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Fax | 951-530-8973
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Authorized Official
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Title or Position | CEO
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Name | RAFAEL PENUNURI
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Credential | MD
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Telephone | 949-697-9951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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