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General NPI Number Information
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NPI Number | 1659433191
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Entity Type | Organization
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Legal Business Name | TOIYABE INDIAN HEALTH PROJECT, INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 250 N SEE VEE LN
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City | BISHOP
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State | CA
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Zip | 93514-8130
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Country | US
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Telephone | 760-873-8464
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Fax | 760-503-4174
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Provider Business Mailing Address
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Address Line | 250 N SEE VEE LN
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City | BISHOP
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State | CA
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Zip | 93514-8130
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Country | US
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Telephone | 760-873-8464
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Fax | 760-873-3908
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Authorized Official
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Title or Position | CEO
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Name | EARL W. LENT III
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Credential |
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Telephone | 760-873-8464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | EXEMPT
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License Number State | CA
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