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General NPI Number Information
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NPI Number | 1891911491
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Entity Type | Individual
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Provider Name | JOHN PREKEZES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 40075 BOB HOPE DR SUITE F
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3942
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Country | US
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Telephone | 760-770-5355
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Fax | 760-770-5372
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Provider Business Mailing Address
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Address Line | 40075 BOB HOPE DR SUITE F
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3942
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Country | US
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Telephone | 760-770-5355
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Fax | 760-770-5372
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A77463
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License Number State | CA
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