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General NPI Number Information
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NPI Number | 1386003424
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Entity Type | Organization
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Legal Business Name | SUTTER VALLEY MEDICAL FOUNDATION
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 445 W EATON AVE
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City | TRACY
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State | CA
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Zip | 95376-3420
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Country | US
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Telephone | 209-830-4062
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 GATEWAY OAKS DR SUITE 2200
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City | SACRAMENTO
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State | CA
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Zip | 95833-4337
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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 | SH VP, QUALITY, SAFETY, PATIENT EDU
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Name | KRISTA LOPES
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Credential |
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Telephone | 916-384-7544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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