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General NPI Number Information
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NPI Number | 1922090489
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Entity Type | Organization
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Legal Business Name | FEATHER RIVER TRIBAL HEALTH, INC.
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 555 W ONSTOTT RD
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City | YUBA CITY
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State | CA
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Zip | 95993
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Country | US
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Telephone | 530-751-8454
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Fax | 530-751-8456
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Provider Business Mailing Address
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Address Line | 2145 5TH AVE
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City | OROVILLE
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State | CA
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Zip | 95965-5870
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Country | US
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Telephone | 530-534-3793
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Fax | 530-534-3820
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARIA HUNZEKER
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Credential |
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Telephone | 530-534-3793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 2300000265
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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