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General NPI Number Information
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NPI Number | 1639385735
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Entity Type | Organization
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Legal Business Name | TOTAL-CARE MEDICAL CENTER
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1429 E THOUSAND OAKS BLVD STE 210
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-6238
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Country | US
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Telephone | 661-266-8700
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Fax | 661-266-8713
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Provider Business Mailing Address
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Address Line | 343 E PALMDALE BLVD STE 5B
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City | PALMDALE
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State | CA
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Zip | 93550-7138
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Country | US
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Telephone | 661-266-8700
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Fax | 661-266-8713
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FARRIS TARAZI
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Credential |
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Telephone | 661-266-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G13838
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License Number State | CA
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