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General NPI Number Information
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NPI Number | 1790281186
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Entity Type | Organization
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Legal Business Name | TAHOE FOREST HOSPITAL DISTRICT
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 880 ALDER AVE
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-8335
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Country | US
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Telephone | 775-883-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 10121 PINE AVE
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City | TRUCKEE
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State | CA
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Zip | 96161-4835
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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 | CFO
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Name | CRYSTAL BETTS
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Credential |
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Telephone | 530-582-6656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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