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General NPI Number Information
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NPI Number | 1124156898
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Entity Type | Organization
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Legal Business Name | COUNTY OF MONTEREY
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 1441 CONSTITUTION BLVD BLDG. 200, SUITE 101
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-755-4124
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Fax | 831-755-7077
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Provider Business Mailing Address
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Address Line | 1441 SCHILLING PLACE SOUTH BLDG - FIRST FLOOR - HEALTH DEPT CLINIC SERVICES
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City | SALINAS
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State | CA
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Zip | 93901-4527
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Country | US
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Telephone | 831-796-1386
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/COO CLINIC SERVICES DIV
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Name | JULIA CLAIRE EDGCOMB
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Credential |
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Telephone | 831-769-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | CA
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