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General NPI Number Information
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NPI Number | 1487029278
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Entity Type | Organization
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Legal Business Name | WORKMED CALIFORNIA A PROFESSIONAL CORP
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Dates
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Enumeration Date | 12/06/2015
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 5321 N FRESNO ST SUITE NUMBER 105C
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City | FRESNO
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State | CA
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Zip | 93710-6850
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Country | US
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Telephone | 559-224-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 14252 CULVER DR SUITE NUMBER 809
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City | IRVINE
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State | CA
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Zip | 92604-0317
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Country | US
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Telephone | 866-980-9580
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MRS. SHELLY CALHOUN
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Credential | RN, PHN
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Telephone | 866-980-9580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 207P00000X
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 193400000X
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License Number State | CA
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