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General NPI Number Information
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NPI Number | 1174608301
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Entity Type | Organization
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Legal Business Name | RIGOBERTO GUTIERREZ, MD
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 2809 OLIVE HWY SUITE 370
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City | OROVILLE
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State | CA
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Zip | 95966-6131
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Country | US
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Telephone | 530-538-9410
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Fax | 530-538-9411
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Provider Business Mailing Address
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Address Line | PO BOX 5010
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City | OROVILLE
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State | CA
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Zip | 95966-0010
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Country | US
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Telephone | 530-538-9410
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Fax | 530-538-9411
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Authorized Official
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Title or Position | MD, CEO
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Name | RIGOBERTO GUTIERREZ
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Credential | MD
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Telephone | 530-538-9410
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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 | G76723
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License Number State | CA
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