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General NPI Number Information
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NPI Number | 1720752355
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Entity Type | Organization
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Legal Business Name | PACIFIC CENTRAL COAST HEALTH CENTERS
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 500 OLD RIVER RD STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9505
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Country | US
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Telephone | 661-663-6429
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Fax | 661-663-6041
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Provider Business Mailing Address
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Address Line | 1414 E MAIN ST STE 201
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City | SANTA MARIA
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State | CA
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Zip | 93454-4890
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Country | US
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Telephone | 805-994-5485
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Fax | 805-347-7697
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BRANDON MERLO
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Credential |
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Telephone | 805-739-3853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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