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General NPI Number Information
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NPI Number | 1659473171
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC ASSOC MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 820 S AKERS 220
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City | VISALIA
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State | CA
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Zip | 93277-8309
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Country | US
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Telephone | 559-625-0551
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Fax | 559-733-4475
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Provider Business Mailing Address
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Address Line | PO BOX 2632
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City | VISALIA
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State | CA
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Zip | 93279-2632
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Country | US
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Telephone | 559-625-0551
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Fax | 559-733-4475
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | KIM HINOJOS
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Credential |
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Telephone | 559-733-3346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5270
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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