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General NPI Number Information
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NPI Number | 1902150675
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Entity Type | Organization
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Legal Business Name | VIRGILIO C. ALMADEN, M.D. , A.M.C.
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 751 W LEGION RD SUITE 205
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City | BRAWLEY
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State | CA
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Zip | 92227-7732
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Country | US
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Telephone | 760-455-2869
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 925
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City | BRAWLEY
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State | CA
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Zip | 92227-7732
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Country | US
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Telephone | 760-455-2869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIRGILIO C. ALMADEN
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Credential | M.D.
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Telephone | 760-455-2869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A39833
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License Number State | CA
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