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General NPI Number Information
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NPI Number | 1174736839
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Entity Type | Organization
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Legal Business Name | SUTTER HEALTH SACRAMENTO SIERRA REGION
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 1 MEDICAL PLAZA DR
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City | ROSEVILLE
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State | CA
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Zip | 95661-3037
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Country | US
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Telephone | 800-353-3369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160100
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City | SACRAMENTO
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State | CA
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Zip | 95816-0100
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Country | US
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Telephone | 800-353-3369
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARY ACKLEY
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Credential |
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Telephone | 800-353-3369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 030000083
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License Number State | CA
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