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General NPI Number Information
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NPI Number | 1952583056
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Entity Type | Organization
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Legal Business Name | MARIN HOSPITALISTMEDICALGROUP,INC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 180 ROWLAND WAY
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City | NOVATO
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State | CA
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Zip | 94945-5009
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Country | US
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Telephone | 415-493-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 708
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City | NOVATO
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State | CA
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Zip | 94948-0708
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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 | ADMINISTRATOR
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Name | MRS. LYNN MITCHELL
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Credential |
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Telephone | 415-493-3333
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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 | A90922
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License Number State | CA
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