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General NPI Number Information
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NPI Number | 1578535845
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN BERNARDINO
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 606 E MILL STREET,
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City | SAN BERNARDINO
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State | CA
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Zip | 92415
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Country | US
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Telephone | 909-383-3001
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Fax | 909-383-3003
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Provider Business Mailing Address
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Address Line | 451 E VANDERBILT WAY STE 400
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3614
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Country | US
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Telephone | 909-387-6219
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Fax | 909-387-6228
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. MICHAEL ANTHONY SEQUEIRA
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Credential | M.D
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Telephone | 909-387-6218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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