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General NPI Number Information
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NPI Number | 1629099080
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Entity Type | Individual
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Provider Name | MICHAEL EBY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 25612 BARTON RD # 327
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 951-314-8917
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Fax |
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Provider Business Mailing Address
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Address Line | 25612 BARTON RD # 327
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City | LOMA LINDA
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State | CA
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Zip | 92354-3110
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Country | US
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Telephone | 951-314-8917
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Fax |
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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 | 207VC0200X
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Taxonomy Name | Critical Care Medicine (Obstetrics & Gynecology) Physician
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License Number | A70664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | A70664
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License Number State | CA
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