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General NPI Number Information
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NPI Number | 1063636876
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Entity Type | Organization
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Legal Business Name | WHITTIER FEMALE MEDICAL CLINIC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11807 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90601-3941
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Country | US
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Telephone | 562-463-7742
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9151
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City | WHITTIER
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State | CA
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Zip | 90608-9151
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Country | US
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Telephone | 562-463-7742
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH R PURDOM II
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Credential | M.D.
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Telephone | 562-463-7742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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