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General NPI Number Information
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NPI Number | 1255269866
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Entity Type | Organization
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Legal Business Name | PHR SURGICAL HOLDINGS, LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 2900 EUREKA WAY
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City | REDDING
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State | CA
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Zip | 96001-0220
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Country | US
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Telephone | 530-225-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 EUREKA WAY
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City | REDDING
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State | CA
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Zip | 96001-0220
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Country | US
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Telephone | 530-225-8700
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Fax |
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Authorized Official
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Title or Position | COUNSEL
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Name | CLEVONNE M JACOBS
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Credential | ESQ.
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Telephone | 615-429-0601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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