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General NPI Number Information
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NPI Number | 1033197801
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Entity Type | Organization
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Legal Business Name | FOWLER MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 210 E MERCED ST
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City | FOWLER
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State | CA
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Zip | 93625-2313
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Country | US
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Telephone | 559-834-5341
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Fax | 559-834-1234
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Provider Business Mailing Address
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Address Line | 210 E MERCED ST
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City | FOWLER
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State | CA
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Zip | 93625-2313
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Country | US
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Telephone | 559-834-5341
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Fax | 559-834-1234
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BITUIN T BERNARDO
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Credential | MD
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Telephone | 559-834-5341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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