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General NPI Number Information
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NPI Number | 1003272469
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Entity Type | Organization
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Legal Business Name | FORCEPS LP
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 2411 EL PAVO WAY
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-3131
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Country | US
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Telephone | 916-366-7474
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Fax | 916-366-7474
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Provider Business Mailing Address
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Address Line | 2411 EL PAVO WAY
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-3131
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Country | US
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Telephone | 916-366-7474
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Fax | 916-366-7474
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GEOFFRET EVERSLEY WOO-MING
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Credential | M.D.
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Telephone | 916-366-7474
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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 | A25036
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License Number State | CA
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