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General NPI Number Information
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NPI Number | 1689295214
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Entity Type | Organization
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Legal Business Name | WEST COAST EQUITY BUILDER LLC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 700 E REDLANDS BLVD # U-748
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City | REDLANDS
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State | CA
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Zip | 92373-6109
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Country | US
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Telephone | 909-227-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E REDLANDS BLVD # U-748
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City | REDLANDS
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State | CA
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Zip | 92373-6109
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Country | US
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Telephone | 909-227-0120
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARIA LURLINE KHATIB
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Credential | PHD
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Telephone | 951-312-4038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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