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General NPI Number Information
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NPI Number | 1174535348
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Entity Type | Organization
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Legal Business Name | CAMPUS FAMILY HEALTH MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 355 CAMPUS DRIVE SUITE E
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City | HANFORD
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State | CA
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Zip | 93230-4376
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Country | US
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Telephone | 559-584-0668
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Fax | 559-584-1071
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Provider Business Mailing Address
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Address Line | 355 CAMPUS DRIVE SUITE E
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City | HANFORD
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State | CA
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Zip | 93230-9662
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Country | US
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Telephone | 559-582-3305
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Fax | 559-584-1071
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MS. RUTH B PORRAS
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Credential |
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Telephone | 559-584-0668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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