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General NPI Number Information
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NPI Number | 1861674376
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Entity Type | Organization
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Legal Business Name | A. RAY MABAQUIAO M.D. APMC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 1745 S IMPERIAL AVE STE C
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City | EL CENTRO
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State | CA
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Zip | 92243-4252
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Country | US
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Telephone | 760-353-0488
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Fax | 760-353-2796
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Provider Business Mailing Address
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Address Line | 8851 CENTER DR SUITE 310
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City | LA MESA
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State | CA
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Zip | 91942-3017
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Country | US
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Telephone | 760-353-0488
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Fax | 760-353-2796
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARTHUR RAY MABAQUIAO
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Credential | MD
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Telephone | 619-644-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | CA
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