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General NPI Number Information
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NPI Number | 1346425733
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Entity Type | Organization
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Legal Business Name | NORTH BAY REGIONAL SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 100 ROWLAND WAY SUITE 145
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City | NOVATO
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State | CA
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Zip | 94945-5041
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Country | US
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Telephone | 415-892-1920
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Fax | 415-892-1320
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Provider Business Mailing Address
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Address Line | 100 ROWLAND WAY SUITE 145
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City | NOVATO
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State | CA
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Zip | 94945-5041
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Country | US
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Telephone | 415-892-1920
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Fax | 415-892-1320
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Authorized Official
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Title or Position | VP
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Name | WILLIAM DAVIS
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Credential |
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Telephone | 916-286-8202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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