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General NPI Number Information
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NPI Number | 1861582645
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Entity Type | Organization
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Legal Business Name | SUTTER EAST BAY HOSPITALS
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 2001 DWIGHT WAY
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City | BERKELEY
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State | CA
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Zip | 94704-2608
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Country | US
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Telephone | 510-204-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 742920
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City | LOS ANGELES
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State | CA
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Zip | 90074-2920
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Country | US
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Telephone | 855-398-1633
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Fax |
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Authorized Official
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Title or Position | VP SHARED SERVICES
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Name | MR. BRIAN TRENT HUNTER
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Credential |
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Telephone | 916-297-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 140000004
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License Number State | CA
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