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General NPI Number Information
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NPI Number | 1720688708
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Entity Type | Organization
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Legal Business Name | KINGS INDUSTRIAL OCCUPATIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 936 G ST STE B
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City | REEDLEY
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State | CA
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Zip | 93654-2627
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Country | US
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Telephone | 559-637-4426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1850
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City | HANFORD
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State | CA
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Zip | 93232-1850
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Country | US
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Telephone | 559-637-4426
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRIAN BELANGER
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Credential | DC
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Telephone | 559-637-4426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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