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General NPI Number Information
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NPI Number | 1134032238
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Entity Type | Organization
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Legal Business Name | KERNVILLE HEALTHCARE INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 6504 LAKE ISABELLA BLVD
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City | LAKE ISABELLA
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State | CA
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Zip | 93240-9270
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Country | US
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Telephone | 760-549-7971
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Fax | 760-549-7972
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Provider Business Mailing Address
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Address Line | PO BOX 3085
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City | LAKE ISABELLA
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State | CA
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Zip | 93240-3085
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Country | US
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Telephone | 760-549-7971
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Fax | 760-549-7972
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Authorized Official
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Title or Position | OWNER
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Name | JOEL FRIGILLANA
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Credential | PHY
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Telephone | 559-854-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | NULL
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