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NPI 1225974645

NPI 1225974645 : TAHOE FOREST HOSPITAL DISTRICT : TAHOE CITY, CA

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General NPI Number Information
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    NPI Number           |    1225974645
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAHOE FOREST HOSPITAL DISTRICT 
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Dates
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    Enumeration Date     |    04/27/2026
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    Last Update Date     |    04/27/2026
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Provider Practice Location Address
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    Address Line         |    3190 FABIAN WAY 
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    City                 |    TAHOE CITY
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    State                |    CA
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    Zip                  |    96145-2032
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    Country              |    US
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    Telephone            |    530-581-8864
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    Fax                  |    530-582-8248
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Provider Business Mailing Address
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    Address Line         |    PO BOX 759 
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    City                 |    TRUCKEE
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    State                |    CA
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    Zip                  |    96160-0759
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     CRYSTAL  FELIX 
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    Credential           |    
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    Telephone            |    530-582-6656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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