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General NPI Number Information
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NPI Number | 1770659278
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Entity Type | Organization
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Legal Business Name | HARVEY A NURICK MD INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 7111 INDIANA AVE # 100
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City | RIVERSIDE
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State | CA
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Zip | 92504-4543
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Country | US
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Telephone | 951-276-9012
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Fax | 951-276-9163
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Provider Business Mailing Address
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Address Line | 7111 INDIANA AVE # 100
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City | RIVERSIDE
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State | CA
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Zip | 92504-4543
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Country | US
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Telephone | 951-276-9012
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Fax | 951-276-9163
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Authorized Official
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Title or Position | OWNER
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Name | HARVEY NURICK
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Credential | M.D.
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Telephone | 951-276-9012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C414540
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License Number State | CA
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