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General NPI Number Information
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NPI Number | 1255672457
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Entity Type | Organization
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Legal Business Name | UC DAVIS MEDICAL CENTER
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 4860 Y ST SUITE 2500
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-6798
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 Y ST SUITE 2500
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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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 | RESIDENCY COORDINATOR
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Name | MARTHA MORRIS
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Credential |
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Telephone | 916-734-6798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number |
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License Number State |
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