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General NPI Number Information
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NPI Number | 1003702333
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Entity Type | Organization
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Legal Business Name | FIVE OAKS MEDICAL CENTER A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 309 S MOORPARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1008
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Country | US
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Telephone | 805-538-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 309 S MOORPARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1008
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Country | US
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Telephone | 805-538-6545
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. TAMI SIMARD
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Credential | DO
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Telephone | 310-634-9767
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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 |
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License Number State |
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