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General NPI Number Information
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NPI Number | 1790500155
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH NETWORK INC.
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1020 VENTURA AVE
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City | CHOWCHILLA
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State | CA
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Zip | 93610-2306
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Country | US
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Telephone | 209-862-3604
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 VENTURA AVE
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City | CHOWCHILLA
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State | CA
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Zip | 93610-2306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DAVID JAMES KYLE
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Credential | DO
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Telephone | 213-521-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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