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General NPI Number Information
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NPI Number | 1093508962
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Entity Type | Organization
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Legal Business Name | REDDING INTEGRITY MEDICAL CENTER
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 317 LAKE BLVD STE A
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City | REDDING
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State | CA
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Zip | 96003-2504
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Country | US
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Telephone | 530-638-7474
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Fax | 530-638-0405
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Provider Business Mailing Address
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Address Line | 317 LAKE BLVD STE A
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City | REDDING
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State | CA
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Zip | 96003-2504
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Country | US
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Telephone | 530-638-7474
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Fax | 530-638-0405
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Authorized Official
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Title or Position | CEO
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Name | TRISH PATTERSON
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Credential | NP
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Telephone | 530-638-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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