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General NPI Number Information
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NPI Number | 1679871875
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Entity Type | Organization
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Legal Business Name | BRIAN BAI CLINIC, INC
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 331 S C ST STE A.,
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City | OXNARD
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State | CA
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Zip | 93030-5824
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Country | US
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Telephone | 805-247-1035
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Fax | 805-247-1038
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Provider Business Mailing Address
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Address Line | 331 S C ST STE A.,
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City | OXNARD
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State | CA
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Zip | 93030-5824
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Country | US
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Telephone | 805-247-1035
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Fax | 805-247-1038
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN C BAI
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Credential | M.D
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Telephone | 805-485-7111
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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 | A101489
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License Number State | CA
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