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NPI 1104125343

NPI 1104125343 : ELEANOR CURTIS MD, MPVM, FACS : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1104125343
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    Entity Type          |    Individual 
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    Provider Name        |    ELEANOR CURTIS MD, MPVM, FACS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/25/2011
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    Last Update Date     |    03/09/2022
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Provider Practice Location Address
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    Address Line         |    2335 STOCKTON BLVD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-9581
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    Country              |    US
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    Telephone            |    513-448-8248
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2335 STOCKTON BLVD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086H0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Surgery) Physician
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    License Number       |    A124754
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2086S0127X
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    Taxonomy Name        |    Trauma Surgery Physician
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    License Number       |    A124754
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    2086S0102X
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    Taxonomy Name        |    Surgical Critical Care Physician
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    License Number       |    A124754
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    License Number State |    CA
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