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General NPI Number Information
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NPI Number | 1104194927
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Entity Type | Organization
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Legal Business Name | SUTTER VALLEY MEDICAL FOUNDATION
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 24685 HIGHWAY 88
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City | PIONEER
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State | CA
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Zip | 95666
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Country | US
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Telephone | 209-257-7500
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Fax | 209-257-7501
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Provider Business Mailing Address
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Address Line | 2750 GATEWAY OAKS DRIVE SUITE 310
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City | SACRAMENTO
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State | CA
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Zip | 95833-3658
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Country | US
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Telephone | 916-887-7398
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Fax | 916-503-3886
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Authorized Official
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Title or Position | SH VP, QUALITY, SAFETY, PATIENT EDU
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Name | KRISTA LOPES
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Credential |
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Telephone | 916-384-7544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | CA
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