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General NPI Number Information
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NPI Number | 1750539433
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Entity Type | Organization
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Legal Business Name | JAMES L MUNSON MD INC
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 245 TERRACINA BLVD STE 209C
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City | REDLANDS
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State | CA
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Zip | 92373-4878
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Country | US
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Telephone | 909-793-2999
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Fax | 909-793-3370
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Provider Business Mailing Address
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Address Line | 245 TERRACINA BLVD STE 209C
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City | REDLANDS
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State | CA
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Zip | 92373-4878
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Country | US
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Telephone | 909-793-2999
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Fax | 909-793-3370
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Authorized Official
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Title or Position | BILLING AND REIMBURSEMENT
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Name | CINDY HILLEGAS
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Credential |
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Telephone | 909-793-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | G39025
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License Number State | CA
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