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General NPI Number Information
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NPI Number | 1316744634
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Entity Type | Organization
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Legal Business Name | ERX HOSPITALIST OF CALIFORNIA
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 5189 HOSPITAL RD
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City | MARIPOSA
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State | CA
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Zip | 95338-9524
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Country | US
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Telephone | 209-966-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 9724 KINGSTON PIKE STE 208
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City | KNOXVILLE
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State | TN
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Zip | 37922-3389
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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 | CHIEF NURSING OFFICER
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Name | EDITH DEVRNJA
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Credential |
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Telephone | 865-777-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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