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General NPI Number Information
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NPI Number | 1366200255
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Entity Type | Organization
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Legal Business Name | YUBA COUNTY JAIL
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 215 5TH ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-0100
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Country | US
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Telephone | 530-749-7740
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Fax |
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Provider Business Mailing Address
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Address Line | 215 5TH ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-0100
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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 | PROJECT MANAGER
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Name | STEPHANIE LUCIO
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Credential |
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Telephone | 530-812-3815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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