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General NPI Number Information
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NPI Number | 1992008643
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Entity Type | Organization
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Legal Business Name | KERN COUNTY PUBLIC HEALTH DEPARTMENT
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 1800 MOUNT VERNON AVE 2ND FLOOR
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3302
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Country | US
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Telephone | 661-868-0531
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Fax | 661-868-0266
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Provider Business Mailing Address
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Address Line | 1800 MT VERNON AVE 2ND FLOOR
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City | BAKERSFIELD
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State | CA
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Zip | 93306
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Country | US
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Telephone | 661-868-0531
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Fax | 661-868-0266
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Authorized Official
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Title or Position | PHN I
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Name | MRS. REBECCA WILLIAMS PITRE
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Credential | BSN
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Telephone | 661-868-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 619184
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License Number State | CA
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