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General NPI Number Information
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NPI Number | 1790396547
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Entity Type | Organization
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Legal Business Name | OAK VALLEY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 250 S OAK AVE STE A4
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City | OAKDALE
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State | CA
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Zip | 95361-3572
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Country | US
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Telephone | 209-848-5310
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Fax | 209-848-7074
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Provider Business Mailing Address
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Address Line | 350 S OAK AVE
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City | OAKDALE
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State | CA
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Zip | 95361-3519
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Country | US
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Telephone | 209-848-7044
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Fax | 209-848-7008
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ANN CROSKREY
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Credential |
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Telephone | 209-848-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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