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General NPI Number Information
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NPI Number | 1578430880
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Entity Type | Organization
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Legal Business Name | PEACH TREE HEALTHCARE
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 5730 PACKARD AVE STE 500
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City | MARYSVILLE
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State | CA
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Zip | 95901-7119
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Country | US
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Telephone | 530-749-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 1114 YUBA ST STE 220
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City | MARYSVILLE
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State | CA
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Zip | 95901-4838
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Country | US
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Telephone | 530-749-3242
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Fax | 530-743-5044
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Authorized Official
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Title or Position | CFO
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Name | GREG BARKER
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Credential |
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Telephone | 530-749-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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