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General NPI Number Information
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NPI Number | 1609414853
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Entity Type | Organization
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Legal Business Name | REALM HEALTHCARE INC
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1330 SAN BERNARDINO RD STE L
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City | UPLAND
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State | CA
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Zip | 91786-4980
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Country | US
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Telephone | 909-833-7556
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Fax | 909-833-9226
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Provider Business Mailing Address
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Address Line | 1330 SAN BERNARDINO RD STE L
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City | UPLAND
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State | CA
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Zip | 91786-4980
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Country | US
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Telephone | 909-833-7556
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Fax | 909-833-9226
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Authorized Official
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Title or Position | PHYSICIAN
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Name | NISCHITA MERLA
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Credential | MD
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Telephone | 909-833-7556
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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