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General NPI Number Information
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NPI Number | 1548202872
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Entity Type | Individual
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Provider Name | CHERKALEYNA A REDDER-HAGA DO
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 7117 BROCKTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2615
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Country | US
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Telephone | 951-321-6335
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Fax | 951-784-3268
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Provider Business Mailing Address
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Address Line | 7117 BROCKTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2658
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Country | US
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Telephone | 951-321-6335
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Fax | 951-784-3269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 20A9342
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A9342
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License Number State | CA
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