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General NPI Number Information
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NPI Number | 1992262646
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Entity Type | Organization
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Legal Business Name | TELEHEALTHDOCS MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 1017 ELLINGTON ST
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City | DELANO
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State | CA
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Zip | 93215-2621
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Country | US
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Telephone | 661-840-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 TRUXTUN AVE STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3602
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Country | US
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Telephone | 661-840-9270
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Fax | 661-864-7848
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. QUON TED LOUEY
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Credential |
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Telephone | 661-840-9270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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