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General NPI Number Information
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NPI Number | 1316928997
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Entity Type | Individual
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Provider Name | GAREN JOHN WINTEMUTE MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 2315 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2201
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Country | US
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Telephone | 916-734-3083
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Fax | 916-734-3063
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Provider Business Mailing Address
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Address Line | 2315 STOCKTON BLVD WESTERN FAIRS BUILDING
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City | SACRAMENTO
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State | CA
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Zip | 95817-2201
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Country | US
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Telephone | 916-734-3083
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Fax | 916-734-3063
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | G38793
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License Number State | CA
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