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General NPI Number Information
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NPI Number | 1326060153
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Entity Type | Organization
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Legal Business Name | CENTRAL CAL ORTHOPEDIC MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 1801 COLORADO AVE STE 250
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City | TURLOCK
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State | CA
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Zip | 95382-2710
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Country | US
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Telephone | 209-216-3500
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Fax | 209-215-3505
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Provider Business Mailing Address
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Address Line | 1801 COLORADO AVE STE 250
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City | TURLOCK
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State | CA
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Zip | 95382-2710
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Country | US
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Telephone | 209-216-3500
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Fax | 209-215-3505
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. DOROTHY MCCLURE
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Credential |
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Telephone | 209-215-3523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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