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NPI 1588609762

NPI 1588609762 : STRATEGOS MEDICAL CORPORATION : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1588609762
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRATEGOS MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    06/19/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    9330 STOCKDALE HWY SUITE 400
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-3614
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    Country              |    US
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    Telephone            |    661-654-0400
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    Fax                  |    661-654-2633
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2326 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93303-2326
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    Country              |    US
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    Telephone            |    661-654-0400
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    Fax                  |    661-654-2633
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STEPHEN  STRATEGOS 
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    Credential           |    MD
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    Telephone            |    661-654-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    
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    License Number State |    CA
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