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General NPI Number Information
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NPI Number | 1083613921
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Entity Type | Organization
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Legal Business Name | COUNTY OF TUOLUMNE
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 18440 STRIKER CT
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City | SONORA
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State | CA
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Zip | 95370-7555
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Country | US
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Telephone | 209-533-7368
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Fax | 209-533-5726
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Provider Business Mailing Address
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Address Line | PO BOX 5024 18440 STRIKER COURT
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City | SONORA
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State | CA
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Zip | 95370-5024
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Country | US
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Telephone | 209-533-7368
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Fax | 209-533-5726
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Authorized Official
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Title or Position | FISCAL SUPERVISOR
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Name | MS. GERALDINE ANN RAINS
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Credential |
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Telephone | 209-533-7368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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