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General NPI Number Information
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NPI Number | 1104850015
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Entity Type | Organization
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Legal Business Name | SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 110 STONY POINT RD STE 200C
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City | SANTA ROSA
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State | CA
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Zip | 95401-4118
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Country | US
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Telephone | 707-535-5700
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Fax | 707-542-6731
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Provider Business Mailing Address
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Address Line | 5099 COMMERCIAL CIR STE 208
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City | CONCORD
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State | CA
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Zip | 94520-1374
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Country | US
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Telephone | 707-864-4840
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Fax | 707-863-9043
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK K MCPHERSON
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Credential |
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Telephone | 707-864-4660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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