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General NPI Number Information
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NPI Number | 1902576846
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Entity Type | Organization
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Legal Business Name | INLAND ARTHRITIS CENTER
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 374 E VANDERBILT WAY
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3593
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Country | US
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Telephone | 909-280-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 29297 CLEAR SPRING LN
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City | HIGHLAND
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State | CA
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Zip | 92346-6201
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Country | US
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Telephone | 909-362-0964
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | IOANA MOLDOVAN
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Credential | MD
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Telephone | 909-362-0964
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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 |
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