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General NPI Number Information
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NPI Number | 1801957667
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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 | 12/13/2006
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Last Update Date | 05/28/2015
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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 | 89451-8215
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Country | US
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Telephone | 775-832-3810
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Fax | 775-832-3800
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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 | 530-582-3550
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Fax | 530-582-3567
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. CRYSTAL L BETTS
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Credential | CFO
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 646HOS-12
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License Number State | NV
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