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General NPI Number Information
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NPI Number | 1427402783
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Entity Type | Organization
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Legal Business Name | GOLDEN STATE ORTHOPEDICS & SPINE
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 1800 SUTTER ST SUITE 100
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City | CONCORD
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State | CA
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Zip | 94520-2563
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Country | US
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Telephone | 925-939-8585
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Fax | 925-933-2709
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Provider Business Mailing Address
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Address Line | PO BOX 31396
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City | WALNUT CREEK
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State | CA
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Zip | 94598-8396
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Country | US
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Telephone | 925-939-8585
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Fax | 925-933-2709
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Authorized Official
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Title or Position | CEO
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Name | STEPHEN HAMMARSTROM
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Credential |
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Telephone | 925-939-8585
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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 |
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License Number State |
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