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NPI 1508096207

NPI 1508096207 : REES FAMILY MEDICAL CORPORATION : SAN LUIS OBISPO, CA

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General NPI Number Information
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    NPI Number           |    1508096207
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    Entity Type          |    Organization 
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    Legal Business Name  |    REES FAMILY MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    07/16/2009
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    Last Update Date     |    01/25/2011
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Provider Practice Location Address
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    Address Line         |    4251 S HIGUERA ST SUITE 401
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-7700
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    Country              |    US
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    Telephone            |    805-540-6010
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    Fax                  |    805-540-6011
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Provider Business Mailing Address
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    Address Line         |    4251 S HIGUERA ST SUITE 401
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-7700
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    Country              |    US
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    Telephone            |    805-540-6010
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    Fax                  |    805-540-6011
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Authorized Official
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    Title or Position    |    BILLER
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    Name                 |    MRS. LINDA L SOLWAY 
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    Credential           |    
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    Telephone            |    805-540-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C41745
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    License Number State |    CA
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