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General NPI Number Information
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NPI Number | 1922261619
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Entity Type | Organization
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Legal Business Name | DOCTORS MEDICAL CENTER- SAN PABLO
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 2000 VALE RD
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City | SAN PABLO
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State | CA
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Zip | 94806-3808
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Country | US
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Telephone | 510-970-5000
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Fax | 510-970-5728
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Provider Business Mailing Address
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Address Line | 2000 VALE RD
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City | SAN PABLO
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State | CA
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Zip | 94806-3808
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Country | US
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Telephone | 510-970-5000
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Fax | 510-970-5728
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Authorized Official
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Title or Position | CFO
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Name | MR. JAMES BOATMAN
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Credential |
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Telephone | 510-970-5107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 110000485
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License Number State | CA
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