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General NPI Number Information
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NPI Number | 1215963772
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Entity Type | Organization
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Legal Business Name | SUTTER NORTH MEDICAL FOUNDATION
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 480 PLUMAS BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-5005
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Country | US
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Telephone | 530-749-3409
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Fax | 530-749-3551
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Provider Business Mailing Address
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Address Line | 969 PLUMAS ST SUITE 205
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City | YUBA CITY
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State | CA
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Zip | 95991-4011
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Country | US
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Telephone | 530-749-3434
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Fax | 530-749-3348
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DAVID E. YAMAMOTO
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Credential |
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Telephone | 530-749-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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