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General NPI Number Information
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NPI Number | 1992814602
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Entity Type | Organization
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Legal Business Name | STEVEN M BEUTLER MD INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 350 TERRACINA BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-4850
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Country | US
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Telephone | 951-738-0968
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Fax | 951-738-0524
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Provider Business Mailing Address
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Address Line | PO BOX 2095
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-2095
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Country | US
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Telephone | 951-738-0968
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Fax | 951-738-0524
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | MS. KIMBERLY DIANE SWANSON
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Credential |
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Telephone | 951-738-0968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G69216
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License Number State | CA
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