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General NPI Number Information
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NPI Number | 1003379306
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Entity Type | Individual
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Provider Name | TREESA ANTONY DNP, FNP-BC, RN-BSN
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Gender | Female
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 421 NUT TREE RD
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City | VACAVILLE
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State | CA
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Zip | 95687-3508
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Country | US
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Telephone | 707-646-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 38319 SARATOGA CIR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-3747
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Country | US
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Telephone | 248-880-7283
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704310872
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5019136
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95028550
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License Number State | CA
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