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General NPI Number Information
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NPI Number | 1184446411
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Entity Type | Organization
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Legal Business Name | NORTH VALLEY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1000 LINCOLN RD STE PMB 813
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City | YUBA CITY
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State | CA
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Zip | 95991-6598
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Country | US
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Telephone | 530-649-7945
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 LINCOLN RD STE H
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City | YUBA CITY
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State | CA
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Zip | 95991-6598
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Country | US
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Telephone | 530-649-7945
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HELDAI AGUILAR
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Credential | CPT1
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Telephone | 530-649-7945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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