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NPI 1093294696

NPI 1093294696 : SUPERIOR HEALTHCARE, INC. : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1093294696
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUPERIOR HEALTHCARE, INC. 
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Dates
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    Enumeration Date     |    08/14/2018
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    Last Update Date     |    01/09/2019
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Provider Practice Location Address
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    Address Line         |    5500 MING AVE STE 170 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-4623
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    Country              |    US
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    Telephone            |    661-836-2226
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    Fax                  |    661-836-2223
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Provider Business Mailing Address
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    Address Line         |    5500 MING AVE STE 170 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-4623
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    Country              |    US
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    Telephone            |    661-836-2226
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    Fax                  |    661-836-2223
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     FRANCINE  HAYDEN 
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    Credential           |    
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    Telephone            |    661-836-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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