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General NPI Number Information
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NPI Number | 1710168422
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Entity Type | Organization
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Legal Business Name | KINGS COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 330 CAMPUS DR
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City | HANFORD
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State | CA
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Zip | 93230-4375
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Country | US
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Telephone | 559-584-1401
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Fax | 559-582-7618
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Provider Business Mailing Address
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Address Line | 330 CAMPUS DR
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City | HANFORD
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State | CA
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Zip | 93230-4375
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Country | US
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Telephone | 559-584-1401
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Fax | 559-582-7618
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Authorized Official
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Title or Position | FISCAL MANAGER
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Name | MR. KARL L NOYES
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Credential |
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Telephone | 559-582-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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