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NPI 1720631708

NPI 1720631708 : NORCAL PAIN TREATMENT CENTER CORP : TURLOCK, CA

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General NPI Number Information
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    NPI Number           |    1720631708
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORCAL PAIN TREATMENT CENTER CORP 
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Dates
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    Enumeration Date     |    07/19/2019
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    1739 COLORADO AVE 
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    City                 |    TURLOCK
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    State                |    CA
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    Zip                  |    95382-2714
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    Country              |    US
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    Telephone            |    209-448-3000
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    Fax                  |    209-442-4116
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2223 
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    City                 |    MERCED
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    State                |    CA
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    Zip                  |    95344-0223
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    Country              |    US
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    Telephone            |    209-448-3000
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    Fax                  |    209-442-4116
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID  LINDENBERG 
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    Credential           |    DO
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    Telephone            |    209-448-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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