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General NPI Number Information
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NPI Number | 1801277538
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Entity Type | Organization
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Legal Business Name | INFINITE HEALTH
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 2570 GOODWATER AVE SUITE 200
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City | REDDING
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State | CA
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Zip | 96002-1548
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Country | US
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Telephone | 530-605-4434
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Fax |
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Provider Business Mailing Address
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Address Line | 2570 GOODWATER AVE SUITE 200
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City | REDDING
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State | CA
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Zip | 96002-1548
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Country | US
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Telephone | 530-605-4434
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Fax |
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Authorized Official
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Title or Position | DO
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Name | BRADLEY COX
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Credential | DO
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Telephone | 530-227-8556
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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 |
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License Number State |
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