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General NPI Number Information
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NPI Number | 1740222934
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Entity Type | Organization
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Legal Business Name | AMERICAN INDIAN HEALTH & SERVICES CORPORATION
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 4141 STATE ST STE B11
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1898
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Country | US
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Telephone | 805-681-7356
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Fax | 805-681-7358
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Provider Business Mailing Address
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Address Line | 3227 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3328
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Country | US
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Telephone | 805-681-7356
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Fax | 805-681-7358
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Authorized Official
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Title or Position | COO
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Name | DEONNA ELIZABETH PEREZ
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Credential |
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Telephone | 805-603-4059
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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 | 50000515
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License Number State | CA
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