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General NPI Number Information
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NPI Number | 1710966494
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Entity Type | Organization
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Legal Business Name | GLORIA ENGEL MD INC
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 36101 BOB HOPE DR STE B3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2001
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Country | US
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Telephone | 760-328-3000
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Fax | 760-328-6116
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Provider Business Mailing Address
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Address Line | 36101 BOB HOPE DR STE B3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2001
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Country | US
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Telephone | 760-328-3000
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Fax | 760-328-6116
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLORIA RAE ENGEL
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Credential | MD
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Telephone | 760-328-3000
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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 | G75509
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License Number State | CA
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