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General NPI Number Information
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NPI Number | 1982606299
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Entity Type | Organization
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Legal Business Name | PREFERRED FAMILY CARE PHYSICIANS MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5925 TRUXTUN AVE STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0433
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Country | US
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Telephone | 661-638-2273
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Fax | 661-638-2288
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Provider Business Mailing Address
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Address Line | 5925 TRUXTUN AVE STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0433
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Country | US
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Telephone | 661-638-2273
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Fax | 661-638-2288
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TERI REYES
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Credential |
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Telephone | 661-638-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | CA
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