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General NPI Number Information
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NPI Number | 1972068625
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Entity Type | Individual
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Provider Name | BETTY HOM MD
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2030 SUTTER PL STE 2000
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City | DAVIS
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State | CA
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Zip | 95616-6216
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Country | US
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Telephone | 530-750-5800
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Fax | 530-750-5804
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone | 800-470-0071
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Fax | 916-854-6769
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A184494
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License Number State | CA
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