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General NPI Number Information
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NPI Number | 1699907436
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Entity Type | Organization
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Legal Business Name | OUTPATIENT AND SPECIALTY CENTER AT SIERRA KINGS DISTRICT HOSPITAL
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 372 W CYPRESS AVE
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City | REEDLEY
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State | CA
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Zip | 93654-2113
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Country | US
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Telephone | 559-638-8155
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Fax | 559-638-7555
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Provider Business Mailing Address
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Address Line | 372 W. CYPRESS AVE
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City | REEDLEY
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State | CA
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Zip | 93654-2113
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Country | US
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Telephone | 559-638-8155
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Fax | 559-638-7555
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. PAMELA OTT
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Credential |
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Telephone | 559-638-8155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | APPLIED FOR/PENDING
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License Number State | CA
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