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General NPI Number Information
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NPI Number | 1093341307
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Entity Type | Organization
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Legal Business Name | KINGS MEDICAL CENTER
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 5135 W. NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277
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Country | US
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Telephone | 559-931-9311
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Fax | 559-931-9313
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Provider Business Mailing Address
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Address Line | PO BOX 7030
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City | VISALIA
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State | CA
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Zip | 93290-7030
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Country | US
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Telephone | 559-931-9311
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Fax | 559-931-9313
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Authorized Official
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Title or Position | DC/CEO
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Name | BRIAN D BELANGER
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Credential | DC
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Telephone | 559-907-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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