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General NPI Number Information
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NPI Number | 1538485099
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Entity Type | Organization
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Legal Business Name | TAYNET T FEBLES MD INC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 916 I ST
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City | LOS BANOS
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State | CA
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Zip | 93635-4313
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Country | US
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Telephone | 209-233-0023
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Fax | 888-901-5030
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Provider Business Mailing Address
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Address Line | 731 E YOSEMITE AVE SUITE B, PMB #209
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City | MERCED
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State | CA
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Zip | 95340-8039
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Country | US
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Telephone | 209-233-0023
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Fax | 888-901-5030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAYNET T FEBLES
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Credential | M.D.
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Telephone | 209-233-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A109536
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A109536
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License Number State | CA
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