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General NPI Number Information
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NPI Number | 1477907038
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH PHYSICIANS NETWORK
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 501 E ST SUITE B
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City | WILLIAMS
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State | CA
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Zip | 95987-5810
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Country | US
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Telephone | 530-473-5641
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 398794
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-8794
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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 | C.F.O
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Name | ADRIAN SERNA
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Credential |
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Telephone | 916-865-1865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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