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General NPI Number Information
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NPI Number | 1083689368
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Entity Type | Organization
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Legal Business Name | PHYSICIANS' MEDICAL GROUP
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 N SAN ANTONIO RD ROOM 101
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1316
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Country | US
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Telephone | 805-681-5473
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Fax | 805-681-5200
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Provider Business Mailing Address
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Address Line | 300 N SAN ANTONIO RD ROOM 101
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1316
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Country | US
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Telephone | 805-681-5473
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Fax | 805-681-5200
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EARL HENRY LYNCH
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Credential | M.D.
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Telephone | 805-681-5473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | A49644
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License Number State | CA
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