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General NPI Number Information
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NPI Number | 1174666168
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Entity Type | Organization
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Legal Business Name | VALLEY INDUSTRIAL MEDICAL GROUP
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 755 E TERRACE AVE
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City | TULARE
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State | CA
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Zip | 93274-2175
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Country | US
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Telephone | 559-685-8800
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Fax | 559-685-9366
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Provider Business Mailing Address
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Address Line | 755 E TERRACE AVE
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City | TULARE
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State | CA
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Zip | 93274-2175
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Country | US
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Telephone | 559-685-8800
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Fax | 559-685-9366
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Authorized Official
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Title or Position | CLINICAL DIRECTOR-OWNER
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Name | MR. R. STEVEN ALCOCER
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Credential | PA-C
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Telephone | 559-685-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | G21545
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License Number State | CA
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