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General NPI Number Information
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NPI Number | 1649282856
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Entity Type | Organization
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Legal Business Name | LOMPOC VALLEY MEDICAL CENTER
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 136 N 3RD ST
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City | LOMPOC
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State | CA
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Zip | 93436-7002
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Country | US
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Telephone | 805-736-1253
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Fax | 805-736-3193
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Provider Business Mailing Address
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Address Line | 1515 E OCEAN AVE
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City | LOMPOC
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State | CA
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Zip | 93436-7092
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Country | US
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Telephone | 805-736-1253
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Fax | 805-736-3193
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Authorized Official
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Title or Position | CIO
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Name | JIM WHITE
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Credential |
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Telephone | 805-737-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 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 #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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