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General NPI Number Information
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NPI Number | 1336469899
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Entity Type | Organization
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Legal Business Name | CANDICE D GOLEZ MD INC
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1524 W LACEY BLVD SUITE 105
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City | HANFORD
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State | CA
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Zip | 93230-5965
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Country | US
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Telephone | 559-537-0405
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Fax | 559-537-0407
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Provider Business Mailing Address
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Address Line | PO BOX 1957
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City | HANFORD
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State | CA
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Zip | 93232-1957
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Country | US
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Telephone | 559-410-8546
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CANDICE D GOLEZ
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Credential | M.D.
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Telephone | 559-410-8546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A110303
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License Number State | CA
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