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General NPI Number Information
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NPI Number | 1689786469
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE CONSULTANTS, INC. A MEDICAL GROUP
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 49063 ROAD 426 SUITE C & D
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City | OAKHURST
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State | CA
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Zip | 93644-9487
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Country | US
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Telephone | 559-642-1500
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Fax | 559-642-1506
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Provider Business Mailing Address
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Address Line | 255 W BULLARD AVE SUITE 124
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City | CLOVIS
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State | CA
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Zip | 93612-0861
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Country | US
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Telephone | 559-642-1500
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Fax | 559-642-1506
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KATHLEEN BARON
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Credential | M.D.
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Telephone | 559-297-1322
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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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