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General NPI Number Information
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NPI Number | 1255511630
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTER OF JOSHUA TREE, INC.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 57445 29 PALMS HWY STE 302
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2947
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Country | US
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Telephone | 760-366-7555
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Fax | 760-366-0529
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Provider Business Mailing Address
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Address Line | PO BOX 1220
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City | JOSHUA TREE
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State | CA
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Zip | 92252-0810
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Country | US
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Telephone | 760-366-7555
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Fax | 760-366-0529
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | VIRGINIA MOORE
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Credential |
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Telephone | 530-340-5406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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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