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General NPI Number Information
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NPI Number | 1992012306
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Entity Type | Organization
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Legal Business Name | ROLLING HILLS CLINIC
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 740 SOLANO ST
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City | CORNING
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State | CA
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Zip | 96021-3352
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Country | US
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Telephone | 530-690-2827
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Fax | 530-900-7007
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Provider Business Mailing Address
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Address Line | PO BOX 908
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City | CORNING
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State | CA
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Zip | 96021-0908
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Country | US
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Telephone | 530-690-2827
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Fax | 530-690-2801
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MARTHA VALENCIA
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Credential |
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Telephone | 530-900-7627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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