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General NPI Number Information
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NPI Number | 1023465184
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Entity Type | Organization
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Legal Business Name | SCHOOLS INTEGRATED MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 305 WOOL ST
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City | FOLSOM
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State | CA
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Zip | 95630-2550
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Country | US
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Telephone | 916-760-7540
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Fax |
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Provider Business Mailing Address
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Address Line | 305 WOOL ST
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City | FOLSOM
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State | CA
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Zip | 95630-2550
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Country | US
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Telephone | 916-760-7540
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. BAN G TRUONG
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Credential | DO, PHD
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Telephone | 916-760-7540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 20A9831
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License Number State | CA
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