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General NPI Number Information
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NPI Number | 1598342636
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Entity Type | Organization
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Legal Business Name | SYLVIA PRECIADO M.D. INTERNAL MEDICINE, INC.
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 301 S FAIR OAKS AVE STE 201
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City | PASADENA
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State | CA
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Zip | 91105-2536
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Country | US
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Telephone | 909-516-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S FAIR OAKS AVE STE 201
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City | PASADENA
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State | CA
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Zip | 91105-2536
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Country | US
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Telephone | 909-516-4160
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SYLVIA PRECIADO
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Credential | MD
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Telephone | 909-516-4160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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