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General NPI Number Information
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NPI Number | 1912097619
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Entity Type | Organization
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Legal Business Name | SAN BENITO COUNTY HEALTH & HUMAN SERVICES AGENCY/PUBLIC HEALTH
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 439 4TH ST
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City | HOLLISTER
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State | CA
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Zip | 95023-3801
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Country | US
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Telephone | 831-637-5367
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Fax | 831-637-9073
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Provider Business Mailing Address
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Address Line | 1111 SAN FELIPE RD SUITE 207
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City | HOLLISTER
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State | CA
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Zip | 95023-2814
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Country | US
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Telephone | 831-637-5367
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | JAMES RYDINGSWORD
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Credential |
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Telephone | 831-636-4180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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