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General NPI Number Information
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NPI Number | 1639267644
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Entity Type | Organization
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Legal Business Name | C DAMIRCHI M D INC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 355 E 21ST ST STE F
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-4851
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Country | US
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Telephone | 909-886-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 355 E 21ST ST STE F
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-4851
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Country | US
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Telephone | 909-886-5251
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SCARLETTE DAMIRCHI
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Credential |
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Telephone | 949-933-7639
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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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