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NPI 1376447540

NPI 1376447540 : KAWEAH DELTA HEALTH CARE DISTRICT : VISALIA, CA

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General NPI Number Information
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    NPI Number           |    1376447540
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAWEAH DELTA HEALTH CARE DISTRICT 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    202 W WILLOW AVE STE 402 
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    City                 |    VISALIA
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    State                |    CA
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    Zip                  |    93291-6238
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    Country              |    US
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    Telephone            |    559-839-2220
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    Fax                  |    559-839-2780
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Provider Business Mailing Address
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    Address Line         |    400 W MINERAL KING AVE 
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    City                 |    VISALIA
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    State                |    CA
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    Zip                  |    93291-6237
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    Country              |    US
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    Telephone            |    559-624-2105
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF COMPLIANCE & RISK OFFICER
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    Name                 |     BENJAMIN  CRIPPS 
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    Credential           |    
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    Telephone            |    559-624-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    
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    License Number State |    NULL
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