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General NPI Number Information
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NPI Number | 1679663496
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Entity Type | Organization
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Legal Business Name | TULARE FAMILY PRACTICE MEDICAL GROUP
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 1070 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2251
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Country | US
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Telephone | 559-686-0799
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Fax | 559-686-0799
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Provider Business Mailing Address
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Address Line | 1070 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2251
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Country | US
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Telephone | 559-686-0799
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Fax | 559-686-0799
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Authorized Official
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Title or Position | FINANCIAL ADVISOR
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Name | DR. PRADEEP KUMAR KAMBOJ
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Credential | M.D.
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Telephone | 559-686-3421
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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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