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General NPI Number Information
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NPI Number | 1851443717
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Entity Type | Organization
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Legal Business Name | ANTONY C ERNEST MD INC ARUN N MEHTA MD PROF CORP ET AL PTR VALLEY CARD
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 43839 15TH ST W SUITE A
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City | LANCASTER
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State | CA
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Zip | 93534-4756
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Country | US
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Telephone | 661-948-2621
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Fax | 661-948-1632
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Provider Business Mailing Address
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Address Line | PO BOX 6110
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City | LANCASTER
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State | CA
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Zip | 93539-6110
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Country | US
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Telephone | 661-948-2621
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Fax | 661-948-1632
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. AVIE READER
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Credential |
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Telephone | 661-948-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A31133
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License Number State | CA
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