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General NPI Number Information
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NPI Number | 1962651885
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Entity Type | Organization
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Legal Business Name | ASHRAF ESKANDER A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 2101 N. WATERMAN AVE. ASHRAF ESKANDER, A PROFESSIONAL MEDICAL CORPORATION
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City | SAN BERNARDINO
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State | CA
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Zip | 92404
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Country | US
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Telephone | 909-884-9091
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Fax | 909-792-9417
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Provider Business Mailing Address
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Address Line | 700 E. REDLANDS BLVD #V345
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City | REDLANDS
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State | CA
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Zip | 92373
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Country | US
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Telephone | 909-435-6162
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Fax | 909-792-9417
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHRAF ESKANDER
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Credential | MD
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Telephone | 909-435-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A48837
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License Number State | CA
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