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General NPI Number Information
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NPI Number | 1114306289
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Entity Type | Organization
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Legal Business Name | SACRAMENTO SKILLED NURSING AND LONG TERM CARE MEDICAL GROUP INC.
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 1133 42 ND STREET
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City | SACRAMENTO
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State | CA
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Zip | 95819
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Country | US
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Telephone | 530-320-6227
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Fax | 916-538-6056
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Provider Business Mailing Address
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Address Line | P.O.BOX 163090
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City | SACRAMENTO
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State | CA
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Zip | 95816
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Country | US
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Telephone | 530-320-6227
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Fax | 916-538-6056
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. FIKIR MORKOC
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Credential | M.D.
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Telephone | 530-320-6227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G79846
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License Number State | CA
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