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General NPI Number Information
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NPI Number | 1609279959
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Entity Type | Organization
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Legal Business Name | PORTERVILLE WOMEN'S MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 254 N KESSING ST
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City | PORTERVILLE
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State | CA
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Zip | 93257-3424
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Country | US
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Telephone | 559-781-8500
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Fax | 559-781-8300
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Provider Business Mailing Address
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Address Line | 254 N KESSING ST
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City | PORTERVILLE
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State | CA
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Zip | 93257-3424
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Country | US
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Telephone | 559-781-8500
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Fax | 559-781-8300
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHAEL GEILING
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Credential | D.O.
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Telephone | 559-781-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 235681
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License Number State | CA
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