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General NPI Number Information
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NPI Number | 1497900872
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Entity Type | Organization
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Legal Business Name | MENDEZ MEDICAL CENTER, INC
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 1420 CRESTMONT DR SUITE A
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4201
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Country | US
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Telephone | 661-330-8753
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Fax | 661-874-2070
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Provider Business Mailing Address
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Address Line | 1420 CRESTMONT DR SUITE A
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4201
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Country | US
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Telephone | 661-330-8753
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Fax | 661-874-2070
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DIEGO MENDEZ
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Credential | MD
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Telephone | 661-324-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A47906
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License Number State | CA
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