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General NPI Number Information
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NPI Number | 1811368780
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF STATE HOSPITALS-NAPA
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 2100 NAPA VALLEJO HWY.
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City | NAPA
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State | CA
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Zip | 94558-6293
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Country | US
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Telephone | 707-253-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 NAPA VALLEJO HWY.
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City | NAPA
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State | CA
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Zip | 94558-6293
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Country | US
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Telephone | 707-253-5000
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Fax |
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Authorized Official
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Title or Position | MEDICAL STAFF COORDINATOR
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Name | SAMANTHA TERMIZI
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Credential |
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Telephone | 707-253-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 68087
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License Number State | CA
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