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General NPI Number Information
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NPI Number | 1972695328
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Entity Type | Organization
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Legal Business Name | SUTTER EMERGENCY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 2801 'L' STREET
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City | SACRAMENTO
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State | CA
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Zip | 95616
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Country | US
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Telephone | 916-454-2222
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 12020
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City | WESTMINSTER
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State | CA
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Zip | 92685-2020
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Country | US
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Telephone | 888-556-5617
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN KELLY NATIONS
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Credential | MD
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Telephone | 888-556-5617
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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 |
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License Number State | CA
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