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General NPI Number Information
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NPI Number | 1750308656
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Entity Type | Organization
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Legal Business Name | POLYCLINIC MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 2145 NILES ST
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City | BAKERSFIELD
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State | CA
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Zip | 93305-5007
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Country | US
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Telephone | 661-327-5984
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Fax | 661-327-2541
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Provider Business Mailing Address
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Address Line | 2145 NILES ST
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City | BAKERSFIELD
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State | CA
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Zip | 93305-5007
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Country | US
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Telephone | 661-327-5984
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Fax | 661-327-2541
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KAMRUN P NAHER
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Credential | M.D.
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Telephone | 661-327-5984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CMM70507H
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License Number State | CA
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