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General NPI Number Information
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NPI Number | 1730115221
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Entity Type | Individual
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Provider Name | ALAN E. GORENBERG MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 8506 E CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92869-2461
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Country | US
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Telephone | 714-633-4666
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Fax | 714-633-4640
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Provider Business Mailing Address
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Address Line | 12380 HESPERIA RD STE 2
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City | VICTORVILLE
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State | CA
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Zip | 92395-5814
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Country | US
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Telephone | 760-243-4188
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Fax | 760-243-6888
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | G60876
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | G60876
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License Number State | CA
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