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General NPI Number Information
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NPI Number | 1740094986
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Entity Type | Organization
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Legal Business Name | KERN COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 9330 STOCKDALE HWY STE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3615
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Country | US
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Telephone | 661-664-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 MOUNT VERNON AVE RM 1241
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-326-2000
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Fax |
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Authorized Official
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Title or Position | CHIEF AMBULATORY OFFICER
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Name | RENEE VILLANUEVA
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Credential |
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Telephone | 661-326-2682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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