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General NPI Number Information
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NPI Number | 1811254014
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Entity Type | Organization
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Legal Business Name | SANTA CRUZ-MONTEREY MANAGED MEDICAL
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1600 GREEN HILLS RD STE 101
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-4981
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Country | US
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Telephone | 831-430-5500
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Fax | 831-430-5856
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Provider Business Mailing Address
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Address Line | 1600 GREEN HILLS RD STE 101
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-4981
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Country | US
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Telephone | 831-430-5500
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Fax | 831-430-5856
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Authorized Official
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Title or Position | MEMBER SERVICES RESOLUTION MANAGER
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Name | MS. PATRICIA O'BRIEN
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Credential |
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Telephone | 831-430-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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