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General NPI Number Information
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NPI Number | 1679654594
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Entity Type | Organization
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Legal Business Name | SUTTER VALLEY MEDICAL FOUNDATION
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 2020 SUTTER PL
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City | DAVIS
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State | CA
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Zip | 95616-6201
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Country | US
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Telephone | 530-750-5965
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Fax | 530-750-5815
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone | 800-470-0071
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Fax |
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Authorized Official
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Title or Position | SH VP, QUALITY, SAFETY, PATIENT EDU
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Name | KRISTA LOPES
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Credential |
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Telephone | 916-384-7544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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