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General NPI Number Information
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NPI Number | 1720130263
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Entity Type | Organization
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Legal Business Name | IES MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 1101 VAN NESS AVE RM 31583D
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6919
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Country | US
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Telephone | 415-600-1151
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Fax | 415-447-6330
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Provider Business Mailing Address
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Address Line | DEPT 34754 PO BOX 39000
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-0001
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Country | US
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Telephone | 415-600-1151
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Fax | 415-447-6330
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH F BINMOELLER
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Credential | MD
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Telephone | 415-600-1151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A497670
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License Number State | CA
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