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General NPI Number Information
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NPI Number | 1558933598
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Entity Type | Organization
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Legal Business Name | COUNTY OF SUTTER
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 4851 OLIVEHURST AVE
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City | OLIVEHURST
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State | CA
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Zip | 95961-4228
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Country | US
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Telephone | 530-749-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 1965 LIVE OAK BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-8850
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Country | US
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Telephone | 530-822-7200
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH DIRECTOR
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Name | RICK BINGHAM
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Credential | LCSW
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Telephone | 530-822-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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