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General NPI Number Information
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NPI Number | 1801395173
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS MEDICAL GROUP, PC.
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 99 N SAN ANTONIO AVE STE 330
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City | UPLAND
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State | CA
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Zip | 91786-7415
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Country | US
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Telephone | 909-931-0446
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Fax | 909-931-1346
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Provider Business Mailing Address
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Address Line | 7535 WEAVER ST
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City | HIGHLAND
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State | CA
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Zip | 92346-5922
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Country | US
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Telephone | 909-862-0771
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Fax | 909-931-1346
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LELANIE FUENTES DENILA
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Credential | RN
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Telephone | 909-815-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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