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General NPI Number Information
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NPI Number | 1710876792
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Entity Type | Organization
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Legal Business Name | AL MEDICAL PC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2291 W MARCH LN STE E101
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City | STOCKTON
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State | CA
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Zip | 95207-6619
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Country | US
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Telephone | 209-292-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 2291 W MARCH LN STE E101
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City | STOCKTON
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State | CA
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Zip | 95207-6619
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | SER VANG
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Credential |
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Telephone | 209-292-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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