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General NPI Number Information
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NPI Number | 1639975477
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Entity Type | Organization
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Legal Business Name | KAWEAH DELTA HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 5300 W TULARE AVE STE 100
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City | VISALIA
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State | CA
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Zip | 93277-3700
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Country | US
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Telephone | 559-839-2200
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Fax | 559-839-2205
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Provider Business Mailing Address
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Address Line | 400 W MINERAL KING AVE
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City | VISALIA
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State | CA
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Zip | 93291-6237
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Country | US
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Telephone | 559-624-2105
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Fax | 559-839-2205
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MALINDA TUPPER
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Credential |
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Telephone | 559-624-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 261QP2300X
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Taxonomy Name | Primary Care 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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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