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General NPI Number Information
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NPI Number | 1619060332
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Entity Type | Individual
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Provider Name | MEDA MCCARLEY BILLYS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/09/2016
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Provider Practice Location Address
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Address Line | 128 N AKERS RD SUITE C
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City | VISALIA
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State | CA
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Zip | 93291-5121
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Country | US
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Telephone | 559-625-1060
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Fax | 559-622-9902
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Provider Business Mailing Address
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Address Line | PO BOX 2434
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City | VISALIA
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State | CA
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Zip | 93279-2434
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Country | US
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Telephone | 559-625-1060
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Fax | 559-622-9902
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G65714
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License Number State | CA
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