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General NPI Number Information
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NPI Number | 1609986702
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Entity Type | Organization
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Legal Business Name | PLUMAS MEDICAL SERVICES
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4352 MAIN STREET
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City | TAYLORSVILLE
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State | CA
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Zip | 95983
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Country | US
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Telephone | 530-284-1744
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Fax | 530-284-1795
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Provider Business Mailing Address
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Address Line | PO BOX 185 4352 MAIN STREET
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City | TAYLORSVILLE
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State | CA
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Zip | 95983-0185
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Country | US
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Telephone | 530-284-1744
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Fax | 530-284-1795
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID ROBERT SCHRAMEL
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Credential |
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Telephone | 530-284-1744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 102515
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License Number State | CA
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