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General NPI Number Information
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NPI Number | 1548201965
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Entity Type | Organization
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Legal Business Name | VALLEY OB/GYN MEDICAL GROUP,INC.
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 1600 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92544-8639
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Country | US
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Telephone | 951-765-1766
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Fax | 951-765-1770
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Provider Business Mailing Address
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Address Line | 1600 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92544-8639
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Country | US
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Telephone | 951-765-1766
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Fax | 951-765-1770
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYED M RIZVI
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Credential | M.D.
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Telephone | 951-765-1766
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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 | CA
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