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General NPI Number Information
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NPI Number | 1659472041
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Entity Type | Organization
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Legal Business Name | OB GYN ASSOCIATES OF TURLOCK A MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1729 N OLIVE AVE 3
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City | TURLOCK
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State | CA
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Zip | 95382-2501
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Country | US
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Telephone | 209-634-9034
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Fax | 209-634-0794
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Provider Business Mailing Address
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Address Line | 1729 N OLIVE AVE 3
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City | TURLOCK
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State | CA
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Zip | 95382-2501
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Country | US
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Telephone | 209-634-9034
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Fax | 209-634-0794
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL MCCAULEY
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Credential | MD
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Telephone | 209-634-9034
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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 | G65192
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A32115
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License Number State | CA
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