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General NPI Number Information
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NPI Number | 1861446452
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Entity Type | Organization
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Legal Business Name | VERIHEALTH INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 2190 S MCDOWELL BOULEVARD EXT
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City | PETALUMA
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State | CA
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Zip | 94954-6902
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Country | US
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Telephone | 707-766-2400
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Fax | 707-766-2426
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Provider Business Mailing Address
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Address Line | 2190 S MCDOWELL BOULEVARD EXT
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City | PETALUMA
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State | CA
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Zip | 94954-6902
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Country | US
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Telephone | 707-766-2400
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Fax | 707-766-2426
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Authorized Official
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Title or Position | COO
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Name | MR. SEAN R SULLIVAN
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Credential |
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Telephone | 707-766-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0604667
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License Number State | CA
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