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General NPI Number Information
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NPI Number | 1952832032
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Entity Type | Organization
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Legal Business Name | SARIN & TAO FAMILY MEDICAL CLINIC, INC
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 529 PINE AVE
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City | HOLTVILLE
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State | CA
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Zip | 92250-1121
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Country | US
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Telephone | 760-756-3172
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Fax | 469-501-9146
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Provider Business Mailing Address
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Address Line | 529 PINE AVE
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City | HOLTVILLE
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State | CA
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Zip | 92250-1121
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Country | US
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Telephone | 760-756-3172
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Fax | 469-501-9146
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. VINCENT V SOUN
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Credential | M.D.
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Telephone | 760-756-3172
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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 | CA
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