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NPI 1710696661

NPI 1710696661 : MAYFAIR MEDICAL SYSTEMS, PC : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1710696661
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAYFAIR MEDICAL SYSTEMS, PC 
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Dates
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    Enumeration Date     |    11/18/2022
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    Last Update Date     |    12/21/2022
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Provider Practice Location Address
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    Address Line         |    650 HOWE AVE STE 730 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-4797
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    Country              |    US
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    Telephone            |    510-295-7864
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    Fax                  |    916-304-0404
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Provider Business Mailing Address
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    Address Line         |    650 HOWE AVE STE 730 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-4797
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    Country              |    US
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    Telephone            |    916-999-4535
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    Fax                  |    916-304-0404
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Authorized Official
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    Title or Position    |    PRINCIPLE
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    Name                 |     ARTHUR  TUROVETS 
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    Credential           |    
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    Telephone            |    973-342-8046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine 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        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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