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General NPI Number Information
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NPI Number | 1437333002
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Entity Type | Organization
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Legal Business Name | VISALIA WALK IN MEDICAL CLINIC INC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 2431 W CALDWELL AVE
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City | VISALIA
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State | CA
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Zip | 93277
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Country | US
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Telephone | 559-627-5555
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Fax | 559-734-1984
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Provider Business Mailing Address
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Address Line | 2431 W CALDWELL AVE
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City | VISALIA
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State | CA
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Zip | 93277
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Country | US
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Telephone | 559-627-5555
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Fax | 559-734-1984
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | URSULINA M PIRES
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Credential |
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Telephone | 559-627-5555
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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 | C27178
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License Number State | CA
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