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NPI 1700677929

NPI 1700677929 : TEHACHAPI HEALTHCARE INC : TEHACHAPI, CA

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General NPI Number Information
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    NPI Number           |    1700677929
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEHACHAPI HEALTHCARE INC 
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Dates
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    Enumeration Date     |    05/15/2025
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    20221 VALLEY BLVD UNIT 1 
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    City                 |    TEHACHAPI
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    State                |    CA
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    Zip                  |    93561
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    Country              |    US
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    Telephone            |    661-431-4915
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14813 BROMSHIRE ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-8424
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    Country              |    US
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    Telephone            |    661-431-4915
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JOEL  FRIGILLANA 
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    Credential           |    
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    Telephone            |    661-431-4915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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