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General NPI Number Information
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NPI Number | 1821389990
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Entity Type | Organization
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Legal Business Name | CARING FAMILY MEDICINE INC
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 8599 HAVEN AVE STE 106
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4849
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Country | US
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Telephone | 909-989-2773
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Fax | 909-989-6999
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Provider Business Mailing Address
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Address Line | 8599 HAVEN AVE STE 106
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4849
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Country | US
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Telephone | 909-989-2773
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Fax | 909-989-6999
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Authorized Official
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Title or Position | OWNER
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Name | REGINA M LEONI
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Credential | M.D.
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Telephone | 909-989-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A83418
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License Number State | CA
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