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General NPI Number Information
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NPI Number | 1942024930
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL CA LTD PTP
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 801 SANTA FE WAY
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City | SHAFTER
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State | CA
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Zip | 93263-3158
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Country | US
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Telephone | 661-215-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 901 OLIVE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4144
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Country | US
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Telephone | 661-215-7500
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | GERRIE HALBROOK
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Credential |
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Telephone | 661-215-7500
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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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