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General NPI Number Information
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NPI Number | 1215344965
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Entity Type | Organization
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Legal Business Name | SUTTER EAST BAY HOSPITALS
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 350 HAWTHORNE AVE
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City | OAKLAND
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State | CA
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Zip | 94609-3108
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Country | US
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Telephone | 510-655-4000
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Fax | 916-503-6982
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Provider Business Mailing Address
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Address Line | PO BOX 742920
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City | LOS ANGELES
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State | CA
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Zip | 90074-2920
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Country | US
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Telephone | 916-297-8606
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Fax | 916-503-6982
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Authorized Official
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Title or Position | REGIONAL CFO
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Name | MR. JOHN GATES
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Credential |
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Telephone | 415-600-7755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 140000284
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License Number State | CA
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