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General NPI Number Information
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NPI Number | 1164651717
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Entity Type | Organization
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Legal Business Name | CENTRAL MEDICAL SERVICES INC
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Dates
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Enumeration Date | 07/03/2009
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Last Update Date | 07/03/2009
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Provider Practice Location Address
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Address Line | 1941 N GATEWAY BLVD STE 102
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City | FRESNO
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State | CA
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Zip | 93727-1641
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Country | US
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Telephone | 559-341-8762
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 W KENNETH RD # 284
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City | GLENDALE
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State | CA
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Zip | 91201-1421
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAM MINH LAI
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Credential | MD
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Telephone | 559-341-8762
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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 | G53709
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License Number State | CA
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