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General NPI Number Information
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NPI Number | 1467810549
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Entity Type | Organization
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Legal Business Name | CHILDREN & FAMILY MEDICAL CARE INC.
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 1190 W OLIVE AVE STE L
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City | MERCED
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State | CA
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Zip | 95348-1960
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Country | US
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Telephone | 209-722-0831
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Fax | 209-722-0862
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Provider Business Mailing Address
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Address Line | 1190 W OLIVE AVE STE L
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City | MERCED
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State | CA
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Zip | 95348-1960
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Country | US
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Telephone | 209-722-0831
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Fax | 209-722-0862
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MS. NANCI ADINOLFI
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Credential | MPAS, PA-C
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Telephone | 209-722-0831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 16403
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License Number State | CA
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