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General NPI Number Information
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NPI Number | 1194944223
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Entity Type | Organization
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Legal Business Name | OMNI FAMILY HEALTH
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 2101 7TH ST
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City | WASCO
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State | CA
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Zip | 93280-1502
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Country | US
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Telephone | 661-459-1900
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Fax | 661-459-1974
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Provider Business Mailing Address
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Address Line | 4900 CALIFORNIA AVE STE 400B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7081
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Country | US
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Telephone | 661-459-1900
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Fax | 661-459-1974
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | MR. FRANCISCO L CASTILLON
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Credential |
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Telephone | 661-630-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 050000254
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License Number State | CA
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