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General NPI Number Information
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NPI Number | 1356779797
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Entity Type | Organization
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Legal Business Name | SUTTER BAY HOSPITALS
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 5196 HILL RD E SUITE 300
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City | LAKEPORT
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State | CA
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Zip | 95453-6360
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Country | US
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Telephone | 707-263-6885
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Fax | 707-263-6624
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Provider Business Mailing Address
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Address Line | 2000 POWELL ST. 10TH FL
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City | EMERYVILLE
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State | CA
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Zip | 94608-1804
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Country | US
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Telephone | 510-450-7347
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Fax | 510-450-7309
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Authorized Official
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Title or Position | CFO
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Name | JOHN B. GATES
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Credential |
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Telephone | 510-450-7357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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