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General NPI Number Information
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NPI Number | 1417277617
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Entity Type | Organization
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Legal Business Name | REDWOOD MEDICAL CENTER
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 3128 SANTA RITA RD
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City | PLEASANTON
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State | CA
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Zip | 94566-8300
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Country | US
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Telephone | 925-462-9300
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Fax | 925-426-8234
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Provider Business Mailing Address
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Address Line | 3128 SANTA RITA RD
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City | PLEASANTON
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State | CA
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Zip | 94566-8300
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Country | US
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Telephone | 925-462-9300
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Fax | 925-426-8234
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GABY CORREA
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Credential |
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Telephone | 925-462-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G79953
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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