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General NPI Number Information
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NPI Number | 1669328308
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Entity Type | Organization
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Legal Business Name | GREENVILLE RANCHERIA
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 2139 AIRPARK DR
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City | REDDING
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State | CA
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Zip | 96001-2433
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Country | US
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Telephone | 530-247-0270
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 279
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City | GREENVILLE
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State | CA
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Zip | 95947-0279
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Country | US
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Telephone | 530-284-6135
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Fax |
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | ROSA GONZALEZ
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Credential |
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Telephone | 530-528-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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