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General NPI Number Information
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NPI Number | 1043246747
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Entity Type | Organization
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Legal Business Name | SUTTER CENTRAL VALLEY HOSPITALS
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 1800 COFFEE RD SUITE 110
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City | MODESTO
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State | CA
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Zip | 95355-2705
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Country | US
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Telephone | 209-572-7132
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Fax | 209-572-7077
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Provider Business Mailing Address
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Address Line | 1800 COFFEE RD SUITE 110
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City | MODESTO
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State | CA
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Zip | 95355-2705
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Country | US
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Telephone | 209-572-7132
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Fax | 209-572-7077
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JAMES BRESHEARS
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Credential | PHARMD
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Telephone | 209-569-7352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HSP37596
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License Number State | CA
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