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General NPI Number Information
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NPI Number | 1750848941
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Entity Type | Organization
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Legal Business Name | PRESTIGE BARIATRIC AND SURGICAL SPECIALISTS INC
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7551 TIMBERLAKE WAY STE 230
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City | SACRAMENTO
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State | CA
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Zip | 95823-5422
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Country | US
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Telephone | 916-347-3630
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Fax | 916-347-3632
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Provider Business Mailing Address
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Address Line | 7551 TIMBERLAKE WAY STE 230
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City | SACRAMENTO
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State | CA
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Zip | 95823-5422
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Country | US
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Telephone | 916-347-3630
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Fax | 916-347-3632
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Authorized Official
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Title or Position | GENERAL SURGERY
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Name | HSINJU RUBY GATSCHET
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Credential |
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Telephone | 209-333-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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