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General NPI Number Information
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NPI Number | 1558531053
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Entity Type | Organization
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Legal Business Name | BUELLTON MEDICAL CENTER
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 185 W HIGHWAY 246 SUITE 102
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City | BUELLTON
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State | CA
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Zip | 93427-9458
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Country | US
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Telephone | 805-686-8555
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Fax | 805-686-8556
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Provider Business Mailing Address
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Address Line | 5007 CAIRE CIR
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LAWRENCE ARTHUR COCHRAN
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Credential |
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Telephone | 805-964-4428
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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 |
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License Number State |
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