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General NPI Number Information
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NPI Number | 1942571146
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Entity Type | Organization
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Legal Business Name | ACUTE MEDICAL PROVIDERS, INC.
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 10 WOODLAND RD
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City | SAINT HELENA
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State | CA
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Zip | 94574-9554
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Country | US
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Telephone | 800-962-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 1671 WATERTROUGH RD
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4647
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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 | RODNEY LOOK
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Credential | MD
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Telephone | 800-962-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A90710
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License Number State | CA
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