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General NPI Number Information
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NPI Number | 1689451510
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Entity Type | Organization
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Legal Business Name | AG HEALTH, PHYSICIAN ASSISTANT AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 02/25/2024
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Provider Practice Location Address
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Address Line | 1188 PADRE DR STE 113
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City | SALINAS
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State | CA
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Zip | 93901-2261
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Country | US
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Telephone | 831-244-0497
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Fax | 775-490-0211
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Provider Business Mailing Address
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Address Line | 1188 PADRE DR STE 113
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City | SALINAS
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State | CA
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Zip | 93901-2261
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Country | US
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Telephone | 831-244-0497
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Fax | 775-490-0211
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAELLA DEBERNARDI
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Credential | PA
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Telephone | 831-244-0497
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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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