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General NPI Number Information
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NPI Number | 1720930712
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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 | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 599 E VALPICO RD
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City | TRACY
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State | CA
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Zip | 95376-9100
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Country | US
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Telephone | 209-830-4072
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Fax | 209-452-3191
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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 |
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR, PLANNING AND ALIGNMEN
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Name | KRISTIN KELLER
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Credential |
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Telephone | 800-478-8837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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