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General NPI Number Information
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NPI Number | 1083255095
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Entity Type | Organization
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Legal Business Name | MENDOCINO CARE NETWORK, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1080 N STATE ST
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City | UKIAH
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State | CA
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Zip | 95482
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Country | US
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Telephone | 707-380-5080
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Fax | 855-598-3597
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Provider Business Mailing Address
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Address Line | PO BOX 1290
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City | UKIAH
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State | CA
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Zip | 95482
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Country | US
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Telephone | 707-380-5080
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Fax | 855-598-3597
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Authorized Official
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Title or Position | OWNER
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Name | LYNN DRESS MEADOWS
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Credential | PA
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Telephone | 707-380-5080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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