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General NPI Number Information
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NPI Number | 1972183648
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Entity Type | Organization
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Legal Business Name | ARISE PSYCHIATRIC MEDICAL GROUP INC
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 1500 HAGGIN OAKS BLVD STE 202
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City | BAKERSFIELD
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State | CA
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Zip | 93311-1333
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Country | US
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Telephone | 661-735-3887
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Fax | 661-836-5545
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Provider Business Mailing Address
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Address Line | 8200 STOCKDALE HWY SUITE M10 BOX 329
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City | BAKERSFIELD
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State | CA
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Zip | 93311
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Country | US
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Telephone | 949-466-5666
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KINGWAI LUI
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Credential | DO
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Telephone | 626-696-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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