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General NPI Number Information
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NPI Number | 1952637027
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Entity Type | Organization
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Legal Business Name | COUNTY OF SONOMA
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 140 S CLOVERDALE BLVD
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City | CLOVERDALE
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State | CA
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Zip | 95425-3710
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Country | US
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Telephone | 707-894-4715
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 OLD REDWOOD HIGHWAY, N SUITE 600
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City | PETALUMA
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State | CA
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Zip | 94954-1177
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Country | US
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Telephone | 707-894-4715
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Fax |
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Authorized Official
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Title or Position | DEPARTMENT ANALYST
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Name | RUBY ZHANG
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Credential |
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Telephone | 707-565-7846
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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 |
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License Number State |
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