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General NPI Number Information
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NPI Number | 1659468973
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Entity Type | Organization
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Legal Business Name | REDWOOD REGIONAL MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 347 ANDRIEUX ST STE 1
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City | SONOMA
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State | CA
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Zip | 95476-6811
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Country | US
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Telephone | 707-935-5460
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Fax | 707-935-5466
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Provider Business Mailing Address
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Address Line | 347 ANDRIEUX ST STE 1
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City | SONOMA
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State | CA
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Zip | 95476-6811
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Country | US
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Telephone | 707-935-5460
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Fax | 707-935-5466
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Authorized Official
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Title or Position | M.D.
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Name | DAVID H. SCHMIDT
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Credential | M.D.
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Telephone | 707-546-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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