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General NPI Number Information
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NPI Number | 1174966949
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Entity Type | Organization
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Legal Business Name | STRONG FAMILY HEALTH CENTER
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 1203 OAK ST
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City | ALTURAS
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State | CA
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Zip | 96101
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Country | US
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Telephone | 530-233-4591
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Fax | 530-233-3055
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Provider Business Mailing Address
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Address Line | 1203 OAK ST
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City | ALTURAS
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State | CA
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Zip | 96101
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Country | US
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Telephone | 530-233-4591
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Fax | 530-233-3055
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Authorized Official
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Title or Position | INTERIM EXECUTIVE DIRECTOR
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Name | SHELLEY HOLLOWAY
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Credential |
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Telephone | 530-233-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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