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General NPI Number Information
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NPI Number | 1629231717
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Entity Type | Organization
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Legal Business Name | JESSICA SAKHONE CRAIG MD,INC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 2003 1ST ST 120A
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City | SELMA
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State | CA
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Zip | 93662-3519
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Country | US
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Telephone | 559-891-2020
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Fax | 559-891-2026
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Provider Business Mailing Address
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Address Line | PO BOX 560
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City | SELMA
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State | CA
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Zip | 93662-0560
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Country | US
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Telephone | 559-891-2020
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Fax | 559-891-2026
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JESSICA SAKHONE CRAIG
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Credential | MD
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Telephone | 559-891-2020
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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 | A80156
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License Number State | CA
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