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General NPI Number Information
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NPI Number | 1639517337
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Entity Type | Organization
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Legal Business Name | REEMAR MEDICAL GROUP, INC
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 9041 MAGNOLIA AVE STE 201
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City | RIVERSIDE
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State | CA
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Zip | 92503-3900
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Country | US
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Telephone | 562-924-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 11911 ARTESIA BLVD STE 104B
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City | CERRITOS
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State | CA
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Zip | 90701-4065
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Country | US
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Telephone | 951-729-3905
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BUFFI TRENT
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Credential |
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Telephone | 562-924-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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