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General NPI Number Information
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NPI Number | 1306139886
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Entity Type | Organization
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Legal Business Name | NEWHALL HEALTH CENTER
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 23772 NEWHALL AVE
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City | NEWHALL
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State | CA
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Zip | 91321-3125
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Country | US
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Telephone | 661-291-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 25115 AVENUE STANFORD A-104
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City | VALENCIA
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State | CA
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Zip | 91355-1290
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Country | US
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Telephone | 661-257-7892
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. CHERYL LAYMON
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Credential |
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Telephone | 661-257-7892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 550001113
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License Number State | CA
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