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General NPI Number Information
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NPI Number | 1508927575
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Entity Type | Organization
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Legal Business Name | COUNTY OF HUMBOLDT
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2501 CYPRESS AVENUE
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City | EUREKA
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State | CA
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Zip | 95503
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Country | US
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Telephone | 707-445-7110
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Fax | 707-445-7140
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Provider Business Mailing Address
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Address Line | 317 SECOND STREET
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City | EUREKA
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State | CA
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Zip | 95501
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Country | US
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Telephone | 707-445-6212
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Fax | 707-441-5686
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Authorized Official
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Title or Position | PUBLIC HEALTH BRANCH DIRECTOR
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Name | ALEXANDRA WINELAND
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Credential |
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Telephone | 707-268-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | CA
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