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General NPI Number Information
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NPI Number | 1891732418
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Entity Type | Organization
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Legal Business Name | SONORA COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 900 MONO WAY
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City | SONORA
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State | CA
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Zip | 95370-5229
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Country | US
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Telephone | 209-536-6940
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Fax | 209-536-6952
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Provider Business Mailing Address
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Address Line | 1000 GREENLEY RD
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City | SONORA
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State | CA
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Zip | 95370-5200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY MCCULLOCH
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Credential |
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Telephone | 209-536-5019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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