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General NPI Number Information
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NPI Number | 1710958228
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Entity Type | Organization
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Legal Business Name | WATSONVILLE HOSPITAL CORPORATION
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 75 NIELSON ST
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City | WATSONVILLE
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State | CA
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Zip | 95076-2468
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Country | US
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Telephone | 831-724-4741
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6000 FILE 73584
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City | SAN FRANCISCO
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State | CA
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Zip | 94160-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP PATIENT FINANCIAL SERVICES
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Name | TARA P RICHARDSON
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Credential |
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Telephone | 615-221-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 070000097
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License Number State | CA
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