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General NPI Number Information
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NPI Number | 1861071508
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Entity Type | Organization
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Legal Business Name | RENU ORTHOPEDICS, PMC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 160 E ARTESIA ST STE 255
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City | POMONA
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State | CA
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Zip | 91767-2921
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Country | US
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Telephone | 909-596-4346
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Fax | 909-596-4344
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Provider Business Mailing Address
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Address Line | 160 E ARTESIA ST STE 255
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City | POMONA
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State | CA
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Zip | 91767-2921
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Country | US
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Telephone | 909-596-4346
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Fax | 909-596-4344
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Authorized Official
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Title or Position | CFO
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Name | DR. HRAYR BASMAJIAN
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Credential | MD
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Telephone | 909-596-4346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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