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General NPI Number Information
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NPI Number | 1295893121
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Entity Type | Organization
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Legal Business Name | SUTTER HEALTH SACRAMENTO SIERRA REGION
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2800 L ST SUITE 450
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City | SACRAMENTO
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State | CA
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Zip | 95816-5616
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Country | US
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Telephone | 916-454-6744
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Fax | 916-454-6745
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Provider Business Mailing Address
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Address Line | 2800 L ST SUITE 450
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City | SACRAMENTO
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State | CA
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Zip | 95816-5616
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Country | US
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Telephone | 916-454-6744
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Fax | 916-454-6745
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CARL R. RED
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Credential | R.PH.
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Telephone | 916-454-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY42089
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License Number State | CA
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