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NPI 1558329193

NPI 1558329193 : MARK W SATTERFIELD MD : QUINCY, CA

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General NPI Number Information
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    NPI Number           |    1558329193
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    Entity Type          |    Individual 
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    Provider Name        |    MARK W SATTERFIELD MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/03/2006
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    Last Update Date     |    02/18/2021
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Provider Practice Location Address
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    Address Line         |    1065 BUCKS LAKE ROAD 
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    City                 |    QUINCY
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    State                |    CA
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    Zip                  |    95971
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    Country              |    US
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    Telephone            |    530-283-2121
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    Fax                  |    530-283-7953
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Provider Business Mailing Address
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    Address Line         |    1065 BUCKS LAKE ROAD 
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    City                 |    QUINCY
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    State                |    CA
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    Zip                  |    95971
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    Country              |    US
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    Telephone            |    530-283-2121
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    Fax                  |    530-283-7953
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    G62328
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    License Number State |    CA
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