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General NPI Number Information
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NPI Number | 1639007362
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Entity Type | Organization
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Legal Business Name | NORTHERN INYO HEALTHCARE DISTRICT
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 2001 SUGAR LOAF RD
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City | BIG PINE
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State | CA
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Zip | 93513-8027
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Country | US
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Telephone | 760-873-6373
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Fax |
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Provider Business Mailing Address
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Address Line | 150 PIONEER LN
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City | BISHOP
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State | CA
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Zip | 93514-2556
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Country | US
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Telephone | 760-873-5811
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Fax | 760-872-5843
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | CHRISTIAN WALLIS
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Credential |
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Telephone | 760-873-2838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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