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General NPI Number Information
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NPI Number | 1396537783
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Entity Type | Organization
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Legal Business Name | REISNER HEALTH CENTER
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 43807 10TH ST W STE A
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City | LANCASTER
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State | CA
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Zip | 93534-4805
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Country | US
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Telephone | 661-495-0005
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Fax | 800-890-6055
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Provider Business Mailing Address
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Address Line | 43824 20TH ST W UNIT 2281
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City | LANCASTER
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State | CA
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Zip | 93539-7531
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Country | US
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Telephone | 661-495-0005
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Fax | 800-890-6055
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Authorized Official
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Title or Position | CEO
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Name | KARAMO CHILOMBO
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Credential | MD
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Telephone | 661-495-0005
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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 |
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License Number State |
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