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General NPI Number Information
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NPI Number | 1801830583
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN JOAQUIN
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 500 W. HOSPITAL RD.
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City | FRENCH CAMP
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State | CA
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Zip | 95231
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Country | US
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Telephone | 209-468-6937
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Fax | 209-468-7043
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Provider Business Mailing Address
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Address Line | PO BOX 1020
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City | STOCKTON
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State | CA
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Zip | 95201-3120
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Country | US
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Telephone | 209-468-6937
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | SHEELA KAPRE
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Credential | MD, FCCP, FACP
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Telephone | 209-468-6600
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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 | 030000087
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License Number State | CA
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