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General NPI Number Information
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NPI Number | 1245261262
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Entity Type | Organization
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Legal Business Name | PEDI CENTER, A MEDICAL GROUP INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9500 STOCKDALE HWY SUITE 108
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3620
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Country | US
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Telephone | 661-410-9500
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Fax | 661-410-9501
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Provider Business Mailing Address
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Address Line | 9500 STOCKDALE HWY SUITE 108
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3620
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Country | US
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Telephone | 661-410-9500
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Fax | 661-410-9501
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Authorized Official
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Title or Position | MEDICAL DIRECTOR / PRESIDENT
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Name | DR. HASMUKH C. AMIN
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Credential | M.D.
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Telephone | 661-410-9500
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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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