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General NPI Number Information
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NPI Number | 1487980389
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Entity Type | Organization
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Legal Business Name | VALLEY ORTHOPEDIC INSTITUTE INC
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 1533 N DOWNS ST
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City | RIDGECREST
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State | CA
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Zip | 93555-2456
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Country | US
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Telephone | 760-446-2900
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Fax | 760-446-2910
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Provider Business Mailing Address
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Address Line | 647 W AVENUE Q
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City | PALMDALE
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State | CA
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Zip | 93551-3893
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Country | US
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Telephone | 661-949-8643
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Fax | 661-947-1631
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEHUL MAHENRA TAYLOR
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Credential | MD
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Telephone | 661-949-8643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A102466
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License Number State | CA
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