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General NPI Number Information
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NPI Number | 1417321431
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Entity Type | Organization
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Legal Business Name | VATCHE CABAYAN MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 200 BUTCHER RD
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City | VACAVILLE
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State | CA
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Zip | 95687-5616
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Country | US
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Telephone | 510-724-4586
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Fax | 510-724-9247
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Provider Business Mailing Address
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Address Line | 2970 HILLTOP MALL RD STE, 200
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City | RICHMOND
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State | CA
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Zip | 94806-1947
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Country | US
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Telephone | 510-724-4586
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Fax | 510-724-9247
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KATIA CABAYAN
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Credential |
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Telephone | 510-724-4586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G54444
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License Number State | CA
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