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General NPI Number Information
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NPI Number | 1720106289
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Entity Type | Organization
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Legal Business Name | ALLCARE INTERNAL MEDICINE GROUP INC A PROFESSIONAL CORP
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25470 MEDICAL CENTER DRIVE SUITE 203
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City | MURRIETA
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State | CA
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Zip | 92562
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Country | US
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Telephone | 951-240-5460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 675833
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-5833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IYABO OLATOKUNBO DARAMOLA
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Credential | MD
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Telephone | 951-240-5460
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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 |
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License Number State |
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