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NPI Code Detail

MEDICARE: ANA MACIAS BA

MEDICARE: ANA MACIAS BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12470A2800XAssistant Health Information Record Technician

General Provider Information

NPI Number : 1043646490
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA MACIAS BA
Provider Business Mailing Address
First Line : 1160 N DUTTON AVE STE 105
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4652
Country : US
Telephone Number : 707-545-2700
Fax Number :
Provider Business Practice Location Address
First Line : 1160 N DUTTON AVE STE 105
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4652
Country : US
Telephone Number : 707-545-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/17/2013

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Directions to “ ANA MACIAS BA” Practice Location

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