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General NPI Number Information
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NPI Number | 1568576627
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Entity Type | Organization
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Legal Business Name | VALLEY OAK FAMILY PRACTICE MEDICAL GROUP INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 1202 MARICOPA HWY STE C
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City | OJAI
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State | CA
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Zip | 93023-3129
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Country | US
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Telephone | 805-640-0068
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Fax | 805-640-1749
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Provider Business Mailing Address
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Address Line | 1202 MARICOPA HWY STE C
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City | OJAI
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State | CA
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Zip | 93023-3129
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Country | US
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Telephone | 805-640-0068
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Fax | 805-640-1749
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Authorized Official
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Title or Position | PRESIDENT
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Name | HELEN PETROFF
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Credential | MD
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Telephone | 805-640-0068
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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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