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General NPI Number Information
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NPI Number | 1790560225
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Entity Type | Organization
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Legal Business Name | DRH MEDICAL GROUP
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 400 30TH ST SUITE 407
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 808-808-2000
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Fax | 800-395-8971
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Provider Business Mailing Address
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Address Line | 2940 SUMMIT ST STE 2D
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 415-735-6453
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Fax | 415-548-2181
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL C HOAGLIN
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Credential | MD
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Telephone | 808-808-2000
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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