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General NPI Number Information
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NPI Number | 1598091332
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Entity Type | Organization
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Legal Business Name | DIAMOND PEDIATRIC MEDICAL GROUP
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 1798 N GAREY AVE
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City | POMONA
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State | CA
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Zip | 91767-2918
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Country | US
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Telephone | 909-865-9726
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Fax | 909-630-7391
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Provider Business Mailing Address
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Address Line | 226 CALLE CONCORDIA
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City | SAN DIMAS
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State | CA
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Zip | 91773-3987
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Country | US
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Telephone | 909-592-6206
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Fax | 909-592-6206
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARJINDER PAL SINGH
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Credential | M.D
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Telephone | 909-592-6206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A46383
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License Number State | CA
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