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General NPI Number Information
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NPI Number | 1881991040
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Entity Type | Organization
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Legal Business Name | FIRST CALL MEDICAL GROUP
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 3660 PARK SIERRA DR 101
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City | RIVERSIDE
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State | CA
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Zip | 92505-3081
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Country | US
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Telephone | 877-357-4777
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Fax | 951-351-4291
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Provider Business Mailing Address
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Address Line | PO BOX 70528
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City | RIVERSIDE
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State | CA
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Zip | 92513-0528
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Country | US
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Telephone | 877-357-4777
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Fax | 951-351-4291
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DARLENE TILLER
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Credential |
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Telephone | 877-357-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | CA
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