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General NPI Number Information
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NPI Number | 1265710883
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PHYSICIANS GROUP, PC
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 2841 TULARE ST
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City | FRESNO
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State | CA
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Zip | 93721-1320
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Country | US
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Telephone | 559-266-2005
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Fax | 888-630-8881
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Provider Business Mailing Address
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Address Line | 2349 WAYFARER DR
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City | DISCOVERY BAY
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State | CA
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Zip | 94505-9225
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Country | US
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Telephone | 831-212-2123
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Fax | 888-630-8881
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Authorized Official
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Title or Position | CEO
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Name | MR. SHELBY JOBE
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Credential |
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Telephone | 831-212-2123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | G80211
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | G80211
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License Number State | CA
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