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General NPI Number Information
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NPI Number | 1750462487
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Entity Type | Organization
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Legal Business Name | JOSE A DHEMING MD INC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 5385 WALNUT AVE # 4
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City | CHINO
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State | CA
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Zip | 91710-2605
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Country | US
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Telephone | 909-902-9934
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Fax | 909-902-0754
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Provider Business Mailing Address
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Address Line | 5385 WALNUT AVE # 4
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City | CHINO
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State | CA
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Zip | 91710-2605
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Country | US
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Telephone | 909-902-9934
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Fax | 909-902-0754
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE A DHEMING
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Credential | M.D.
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Telephone | 909-902-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A55611
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License Number State | CA
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