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General NPI Number Information
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NPI Number | 1508115684
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Entity Type | Organization
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Legal Business Name | GOLDEN GATE HOSPITALISTS
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 1165 MONTGOMERY DR
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City | SANTA ROSA
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State | CA
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Zip | 95405-4801
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Country | US
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Telephone | 209-845-1346
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Fax | 209-846-1365
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Provider Business Mailing Address
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Address Line | 2777 YULUPA AVE SUITE 206
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City | SANTA ROSA
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State | CA
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Zip | 95405-8584
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Country | US
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Telephone | 209-845-1346
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Fax | 209-845-1365
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN P HURWITZ
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Credential | D.O.
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Telephone | 707-228-8401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State | CA
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