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General NPI Number Information
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NPI Number | 1124295738
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Entity Type | Organization
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Legal Business Name | VISALIA CARDIOVASCULAR AND MEDICAL CENTER, INC
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 101 E NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277-2717
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Country | US
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Telephone | 559-735-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277-2717
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Country | US
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Telephone | 559-735-0500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KUSAI AZIZ
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Credential | MD
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Telephone | 559-735-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A99102
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A97987
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License Number State | CA
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