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General NPI Number Information
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NPI Number | 1003906587
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Entity Type | Individual
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Provider Name | SHERRIE DENISE KNEEBONE N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 2000 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1716
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Country | US
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Telephone | 510-795-2004
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Fax | 510-742-9285
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Provider Business Mailing Address
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Address Line | 2500 MOWRY AVE SUITE 100
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City | FREMONT
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State | CA
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Zip | 94538-1605
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Country | US
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Telephone | 510-795-2004
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Fax | 510-742-9285
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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 | 592295
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License Number State | CA
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