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General NPI Number Information
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NPI Number | 1639603897
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Entity Type | Organization
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Legal Business Name | SAN JOAQUIN VALLEY HEALTH GROUP INC
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 6515 PANAMA LANE SUITE 106-107
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9729
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Country | US
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Telephone | 661-634-0955
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Fax | 661-634-9662
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Provider Business Mailing Address
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Address Line | 6515 PANAMA LANE SUITE 106-107
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9729
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Country | US
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Telephone | 661-634-0955
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Fax | 661-634-9662
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Authorized Official
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Title or Position | OWNER
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Name | YADWINDER SINGH KANG
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Credential | MD
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Telephone | 559-892-0646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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