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General NPI Number Information
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NPI Number | 1639107204
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Entity Type | Organization
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Legal Business Name | SAN RAMON VALLEY FAMILY PRACTICE MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 5401 NORRIS CANYON RD SUITE 204
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City | SAN RAMON
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State | CA
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Zip | 94583-5409
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Country | US
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Telephone | 925-275-9288
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 NORRIS CANYON RD SUITE 204
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City | SAN RAMON
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State | CA
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Zip | 94583-5409
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY RIOPELLE
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Credential | M.D.
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Telephone | 925-275-9288
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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 | G54648
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License Number State | CA
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