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General NPI Number Information
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NPI Number | 1952338881
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Entity Type | Organization
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Legal Business Name | CHILDREN & FAMILY MEDICAL CARE
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1190 W. OLIVE AVE. STE. L
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City | MERCED
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State | CA
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Zip | 95348
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Country | US
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Telephone | 209-722-0831
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Fax | 209-722-0862
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Provider Business Mailing Address
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Address Line | 1190 W. OLIVE AVE. STE. L
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City | MERCED
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State | CA
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Zip | 95348
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Country | US
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Telephone | 209-722-0831
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Fax | 209-722-0862
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTIAN A GALLERY
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Credential | M.D.
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Telephone | 209-722-0831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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