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General NPI Number Information
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NPI Number | 1366577025
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Entity Type | Organization
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Legal Business Name | KINGS COUNTY PUBLIC HEALTH LABORATORY
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 330 CAMPUS DR
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City | HANFORD
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State | CA
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Zip | 93230-4375
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Country | US
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Telephone | 559-584-1401
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Fax | 559-583-8178
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Provider Business Mailing Address
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Address Line | 330 CAMPUS DR
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City | HANFORD
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State | CA
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Zip | 93230-4375
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Country | US
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Telephone | 559-584-1401
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Fax | 559-583-8178
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Authorized Official
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Title or Position | MEDICAL BILLER 1
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Name | MARIA L ALVAREZ
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Credential |
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Telephone | 559-852-4517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D0643454
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License Number State | CA
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