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General NPI Number Information
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NPI Number | 1760570600
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Entity Type | Organization
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Legal Business Name | PEDIATRIC MEDICAL ASSOCIATES OF SACRAMENTO INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 650 HOWE AVENUE SUITE 100
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City | SACRAMENTO
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State | CA
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Zip | 95825-0000
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Country | US
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Telephone | 916-924-9337
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Fax | 916-924-8281
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Provider Business Mailing Address
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Address Line | 650 HOWE AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95825-4732
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Country | US
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Telephone | 916-924-9337
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Fax | 916-924-8281
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHESTER SLONAKER
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Credential | MD
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Telephone | 916-924-9337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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