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General NPI Number Information
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NPI Number | 1376875039
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Entity Type | Organization
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Legal Business Name | PREMIER FAMILY PRACTICE ASSOCIATES
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 9500 STOCKDALE HWY SUITE 201
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3620
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Country | US
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Telephone | 661-847-3223
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Fax | 661-323-7999
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Provider Business Mailing Address
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Address Line | 9500 STOCKDALE HWY SUITE 201
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3620
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Country | US
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Telephone | 661-847-3223
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Fax | 661-323-7999
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ROBYN MICHELLE PEARSON
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Credential |
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Telephone | 661-327-1431
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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 | G527260
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License Number State | CA
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