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General NPI Number Information
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NPI Number | 1306069539
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Entity Type | Organization
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Legal Business Name | SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 2900 CHANTICLEER AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1816
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Country | US
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Telephone | 831-477-2208
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3798
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City | SANTA CRUZ
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State | CA
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Zip | 95063-3798
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Country | US
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Telephone | 831-477-2208
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | GLEN GROVES
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Credential |
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Telephone | 831-458-5595
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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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