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General NPI Number Information
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NPI Number | 1780761981
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Entity Type | Organization
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Legal Business Name | SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 15922 WILLOW ST SIEGRIST MTU
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City | HESPERIA
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State | CA
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Zip | 92345-2848
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Country | US
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Telephone | 760-244-7999
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Fax | 760-244-4975
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Provider Business Mailing Address
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Address Line | 451 E VANDERBILT WAY
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3641
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Country | US
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Telephone | 909-387-6218
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Fax |
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Authorized Official
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Title or Position | PUBLIC HEALTH OFFICER
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Name | DR. MAXWELL OHIKHUARE
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Credential | M.D.
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Telephone | 909-387-6219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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