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General NPI Number Information
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NPI Number | 1720360530
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Entity Type | Organization
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Legal Business Name | VMS MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 3008 SILLECT AVE SUITE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93308-6340
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Country | US
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Telephone | 661-748-1999
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Fax | 888-668-1767
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Provider Business Mailing Address
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Address Line | 3685 MT DIABLO BLVD SUITE 254
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City | LAFAYETTE
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State | CA
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Zip | 94549-6884
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Country | US
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Telephone | 925-297-6199
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Fax | 888-900-8123
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY LEINEN
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Credential | MD
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Telephone | 925-297-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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