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General NPI Number Information
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NPI Number | 1700399441
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Entity Type | Organization
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Legal Business Name | AMPLA HEALTH
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 1000 SUTTER STREET SUITE B
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City | YUBA CITY
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State | CA
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Zip | 95991
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Country | US
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Telephone | 530-216-4047
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Fax | 530-230-0142
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Provider Business Mailing Address
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Address Line | 1000 SUTTER STREET SUITE B
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City | YUBA CITY
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State | CA
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Zip | 95991
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Country | US
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Telephone | 530-216-4047
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Fax | 530-230-0142
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Authorized Official
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Title or Position | CFO
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Name | KATHY WALKER
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Credential |
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Telephone | 530-751-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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