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General NPI Number Information
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NPI Number | 1871952879
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Entity Type | Organization
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Legal Business Name | TURLOCK INPATIENT SERVICES A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 825 DELBON AVE
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City | TURLOCK
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State | CA
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Zip | 95382-2016
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Country | US
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Telephone | 469-401-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1374
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Country | US
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Telephone | 469-401-2386
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGEL ISCOVICH
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Credential | MD
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Telephone | 469-401-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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