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General NPI Number Information
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NPI Number | 1770664286
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Entity Type | Individual
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Provider Name | JANET RUTH MEDENWALD HOGG M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | STEP UP ON SECOND; 600 N. ARROWHEAD AVE, SUITE 200
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City | SAN BERNARDINO
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State | CA
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Zip | 92401-1152
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Country | US
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Telephone | 909-963-5355
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Fax | 909-453-3205
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Provider Business Mailing Address
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Address Line | 18555 AVENIDA ESCALERA
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City | MURRIETA
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State | CA
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Zip | 92562-8611
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Country | US
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Telephone | 831-346-8236
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Fax | 831-454-4663
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G58422
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License Number State | CA
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