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General NPI Number Information
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NPI Number | 1184337602
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Entity Type | Organization
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Legal Business Name | FAMILYFIRST FAMILY MEDICAL PRACTICE INC
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 42135 10TH ST W STE 201
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City | LANCASTER
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State | CA
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Zip | 93534-6093
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Country | US
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Telephone | 661-341-3800
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Fax | 661-341-3810
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Provider Business Mailing Address
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Address Line | 42135 10TH ST W STE 201
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City | LANCASTER
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State | CA
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Zip | 93534-6093
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Country | US
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Telephone | 661-341-3800
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Fax | 661-341-3810
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MIDIAN LOPEZ
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Credential |
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Telephone | 661-341-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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