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General NPI Number Information
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NPI Number | 1396778197
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Entity Type | Organization
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Legal Business Name | TWIN CITIES COMMUNITY HOSPITAL, INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1100 LAS TABLAS RD
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City | TEMPLETON
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State | CA
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Zip | 93465-9704
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Country | US
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Telephone | 805-434-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 57446
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City | LOS ANGELES
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State | CA
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Zip | 90074-7446
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Country | US
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Telephone | 209-578-2513
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Fax | 805-434-2913
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Authorized Official
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Title or Position | CFO
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Name | SCOTT WARTELLE
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Credential |
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Telephone | 805-546-7797
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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 | 050000078
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License Number State | CA
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