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General NPI Number Information
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NPI Number | 1952319816
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Entity Type | Organization
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Legal Business Name | RALPH E RETHERFORD MD INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 16050 VIA ESTE RD
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City | SONORA
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State | CA
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Zip | 95370-8428
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Country | US
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Telephone | 209-588-1424
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Fax | 209-588-1521
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Provider Business Mailing Address
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Address Line | 16050 VIA ESTE RD
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City | SONORA
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State | CA
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Zip | 95370
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Country | US
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Telephone | 209-588-1424
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Fax | 209-588-1521
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Authorized Official
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Title or Position | OWNER
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Name | DR. RALPH E RETHERFORD
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Credential | MD
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Telephone | 209-588-1424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A24305
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License Number State | CA
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