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General NPI Number Information
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NPI Number | 1891214532
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Entity Type | Organization
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Legal Business Name | ST HELENA HOSPITAL
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 09/13/2017
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Provider Practice Location Address
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Address Line | 183 BUTCHER RD STE B
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City | VACAVILLE
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State | CA
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Zip | 95687-5691
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Country | US
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Telephone | 707-648-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 525 OREGON ST
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City | VALLEJO
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State | CA
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Zip | 94590-3201
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Country | US
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Telephone | 707-648-2200
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECCTOR RISK
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Name | MRS. KIMBERLY B MEREDITH
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Credential |
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Telephone | 707-963-6260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | CA
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