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General NPI Number Information
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NPI Number | 1801973052
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Entity Type | Organization
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Legal Business Name | SURPRISE VALLEY HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 741 MAIN & WASHINGTON
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City | CEDARVILLE
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State | CA
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Zip | 96104-0246
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Country | US
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Telephone | 530-279-6111
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Fax | 530-279-2680
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Provider Business Mailing Address
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Address Line | PO BOX 246 741 NORTH MAIN
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City | CEDARVILLE
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State | CA
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Zip | 96104-0246
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Country | US
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Telephone | 530-279-6111
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Fax | 530-279-2680
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WANDA L. GROVE
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Credential |
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Telephone | 530-279-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 230000025
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 230000025
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 230000025
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 230000025
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 230000025
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 230000025
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License Number State | CA
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