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General NPI Number Information
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NPI Number | 1184285827
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Entity Type | Organization
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Legal Business Name | GURMU OCCMED SERVICES INC
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 500 GREENFIELD AVE
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City | HANFORD
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State | CA
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Zip | 93230-3515
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Country | US
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Telephone | 559-587-5587
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Fax | 559-587-5557
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Provider Business Mailing Address
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Address Line | 500 GREENFIELD AVE
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City | HANFORD
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State | CA
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Zip | 93230-3515
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Country | US
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Telephone | 559-644-5225
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Fax | 559-587-5557
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | DABI JONKE GURMU
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Credential | MD; MPH
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Telephone | 559-644-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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