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General NPI Number Information
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NPI Number | 1295842532
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Entity Type | Organization
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Legal Business Name | SANTA ROSA CARDIOLOGY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 990 SONOMA AVE STE 2
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City | SANTA ROSA
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State | CA
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Zip | 95404-4813
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Country | US
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Telephone | 707-527-8444
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Fax | 707-527-5327
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Provider Business Mailing Address
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Address Line | 990 SONOMA AVE STE 2
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City | SANTA ROSA
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State | CA
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Zip | 95404-4813
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Country | US
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Telephone | 707-527-5155
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Fax | 707-527-1071
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. JOHN J HUNTER
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Credential | M.D.
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Telephone | 707-527-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | CA
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