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General NPI Number Information
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NPI Number | 1982410783
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Entity Type | Organization
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Legal Business Name | EGIL PULMONARY CONSULTANT
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 12047 4TH ST
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City | YUCAIPA
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State | CA
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Zip | 92399-2735
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Country | US
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Telephone | 840-258-0972
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Fax |
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Provider Business Mailing Address
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Address Line | 941 CREEK VIEW LN
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City | REDLANDS
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State | CA
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Zip | 92373-6974
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Country | US
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Telephone | 909-528-3955
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ENRIQUE GARCIA GIL
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Credential | MD
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Telephone | 909-528-3955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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