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General NPI Number Information
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NPI Number | 1790210359
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Entity Type | Organization
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Legal Business Name | VA HOSPITAL MATHER
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 3131 SPARROW DR
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City | SACRAMENTO
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State | CA
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Zip | 95834-2639
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Country | US
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Telephone | 916-548-1562
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 SPARROW DRIVE
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City | SACRAMENTO
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State | CA
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Zip | 95834-0002
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Country | US
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Telephone | 916-548-1562
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Fax |
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Authorized Official
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Title or Position | REGISTERED RESPIRATORY THERAPIST
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Name | MS. JOYCELIN NITIKA SINGH
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Credential | RRT
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Telephone | 916-548-1562
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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 | 30666
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License Number State | CA
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