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General NPI Number Information
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NPI Number | 1346621349
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Entity Type | Organization
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Legal Business Name | SUTTER HEALTH
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 1700 COFFEE RD
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City | MODESTO
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State | CA
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Zip | 95355-2803
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Country | US
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Telephone | 209-526-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 RIVER PLAZA DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-4134
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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 | CEO
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Name | PATRICK FRY
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Credential |
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Telephone | 916-286-6665
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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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