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General NPI Number Information
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NPI Number | 1740923572
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Entity Type | Organization
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Legal Business Name | SAN JOAQUIN VALLEY HEALTH GROUP INC
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 4420 COFFEE RD STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5022
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Country | US
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Telephone | 661-735-1185
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Fax | 661-679-4941
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Provider Business Mailing Address
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Address Line | 6515 PANAMA LN STE 106-107
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City | BAKERSFIELD
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State | CA
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Zip | 93313-9726
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Country | US
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Telephone | 661-735-3041
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Fax | 661-735-5692
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Authorized Official
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Title or Position | PRESIDENT
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Name | YADWINDER SINGH KANG
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Credential | MD
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Telephone | 661-735-3041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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