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General NPI Number Information
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NPI Number | 1558695064
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Entity Type | Organization
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Legal Business Name | MICHAEL A AMSTER, MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 1101 B GALE WILSON BLVD SUITE 307
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City | FAIRFIELD
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State | CA
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Zip | 94533-3700
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Country | US
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Telephone | 707-429-7766
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Fax | 707-429-6980
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Provider Business Mailing Address
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Address Line | 1101 B GALE WILSON BLVD SUITE 307
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City | FAIRFIELD
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State | CA
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Zip | 94533-3700
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Country | US
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Telephone | 707-429-7766
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Fax | 707-429-6980
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Authorized Official
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Title or Position | MANAGER
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Name | ELIZABETH K WILLIAMS
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Credential |
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Telephone | 209-322-3301
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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 | A81550
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License Number State | CA
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