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General NPI Number Information
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NPI Number | 1326229014
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Entity Type | Organization
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Legal Business Name | SAN LUIS OBISPO PUBLIC HEALTH DEPT
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 2181 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 805-781-4243
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Fax | 805-781-5541
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Provider Business Mailing Address
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Address Line | 2181 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 805-781-4243
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Fax | 805-781-5541
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Authorized Official
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Title or Position | LGA COORDINATOR
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Name | MRS. MONICA C LEMELLE
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Credential |
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Telephone | 805-781-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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