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General NPI Number Information
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NPI Number | 1720011166
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Entity Type | Organization
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Legal Business Name | RANCHO MIRAGE FAMILY GROUP INC A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 39300 BOB HOPE DRIVE BANNAN BLDG., STE, 1105
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3203
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Country | US
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Telephone | 760-773-3379
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Fax | 760-568-3679
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Provider Business Mailing Address
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Address Line | 39300 BOB HOPE DRIVE BANNAN BLDG., STE, 1105
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3203
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Country | US
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Telephone | 760-773-3379
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Fax | 760-568-3679
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Authorized Official
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Title or Position | OWNER
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Name | DR. MURRAY D. TAYLOR
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Credential | M.D.
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Telephone | 760-773-3379
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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 | A35629
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License Number State | CA
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