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General NPI Number Information
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NPI Number | 1245144377
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Entity Type | Organization
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Legal Business Name | PEACH TREE HEALTHCARE
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3840 ROSIN CT STE 170
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City | SACRAMENTO
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State | CA
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Zip | 95834-1699
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Country | US
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Telephone | 530-749-3242
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Fax | 530-749-3248
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Provider Business Mailing Address
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Address Line | 1114 YUBA ST STE 220
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City | MARYSVILLE
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State | CA
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Zip | 95901-4838
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Country | US
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Telephone | 530-749-3242
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Fax | 530-749-3248
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Authorized Official
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Title or Position | CFO
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Name | GREG BARKER
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Credential |
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Telephone | 530-749-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NULL
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