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General NPI Number Information
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NPI Number | 1861928293
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Entity Type | Organization
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Legal Business Name | BUTTE COLLEGE
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 3536 BUTTE CAMPUS DR
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City | OROVILLE
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State | CA
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Zip | 95965-8303
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Country | US
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Telephone | 530-895-2441
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Fax |
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Provider Business Mailing Address
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Address Line | 3536 BUTTE CAMPUS DR STUDENT HEALTH CLINIC
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City | OROVILLE
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State | CA
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Zip | 95965-8303
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Country | US
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Telephone | 530-895-2441
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FOR ADMINISTRATION
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Name | ANDREW SULESKI
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Credential |
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Telephone | 530-895-2353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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