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General NPI Number Information
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NPI Number | 1528374386
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Entity Type | Organization
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Legal Business Name | RR OFFICE INC
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1800 MEDICAL CENTER DR #300
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1218
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Country | US
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Telephone | 909-684-3598
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Fax |
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Provider Business Mailing Address
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Address Line | 15218 SUMMIT AVE #255
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City | FONTANA
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State | CA
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Zip | 92336-0232
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Country | US
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Telephone | 909-684-3598
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECYOR
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Name | DR. HYOSONG D PANG
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Credential | MD
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Telephone | 909-684-3598
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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 | G66421
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License Number State |
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