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General NPI Number Information
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NPI Number | 1932641644
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Entity Type | Organization
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Legal Business Name | OAK HILLS MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 714 MAIN ST
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City | DELANO
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State | CA
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Zip | 93215-2953
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Country | US
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Telephone | 661-324-4100
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Fax | 661-324-4600
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Provider Business Mailing Address
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Address Line | PO BOX 748792 STE 106
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City | LOS ANGELES
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State | CA
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Zip | 90074-8792
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Country | US
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Telephone | 661-324-4100
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Fax | 661-324-4600
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Authorized Official
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Title or Position | DIRECTOR
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Name | PROF. MADELINE ANGELA MEYER
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Credential | PHD
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Telephone | 321-274-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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