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General NPI Number Information
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NPI Number | 1477698686
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Entity Type | Organization
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Legal Business Name | KERN COUNTY MEDICAL CLINIC,INC.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 2222 19TH STREET
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-325-2448
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Fax | 661-325-7425
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Provider Business Mailing Address
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Address Line | 2222 19TH STREET
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-325-2448
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Fax | 661-325-7425
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SEE RUERN KITT
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Credential | MD
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Telephone | 661-325-2448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | C41262
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | C41262
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License Number State | CA
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