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General NPI Number Information
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NPI Number | 1639786122
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Entity Type | Organization
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Legal Business Name | MY VIRTUAL PHYSICIAN PC
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4900 CALIFORNIA AVE FL 2
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7024
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Country | US
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Telephone | 888-224-0804
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BERGEN ST APT 234
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City | HARRISON
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State | NJ
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Zip | 07029-3198
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Country | US
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Telephone | 443-224-5142
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DAVID LEIGHTON HOWARD
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Credential | MD PHD
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Telephone | 888-224-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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