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General NPI Number Information
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NPI Number | 1114637873
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Entity Type | Organization
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Legal Business Name | MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 1604 SUNRISE AVE
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City | MADERA
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State | CA
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Zip | 93638-4926
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Country | US
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Telephone | 559-675-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 1604 SUNRISE AVE
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City | MADERA
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State | CA
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Zip | 93638-4926
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Country | US
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Telephone | 559-675-7893
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Fax |
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Authorized Official
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Title or Position | DEPUTY PH DIRECTOR - OPERATIONS
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Name | SEAN KIRKPATRICK
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Credential |
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Telephone | 559-675-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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