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General NPI Number Information
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NPI Number | 1376696021
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Entity Type | Organization
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Legal Business Name | NEVADA COUNTY CCS
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 HOOVER LN
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City | NEVADA CITY
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State | CA
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Zip | 95959-2944
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Country | US
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Telephone | 530-265-0618
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Fax | 530-265-0524
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Provider Business Mailing Address
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Address Line | 500 CROWN POINT CIR SUITE 110
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City | GRASS VALLEY
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State | CA
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Zip | 95945-9514
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Country | US
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Telephone | 530-265-1450
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Fax | 530-271-0841
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Authorized Official
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Title or Position | CMS COORDINATOR
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Name | ALICE LITTON
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Credential |
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Telephone | 530-265-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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