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General NPI Number Information
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NPI Number | 1013164771
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Entity Type | Individual
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Provider Name | PAMELA NAMENYI FNP, PNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4212 MISSOURI FLAT RD
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City | PLACERVILLE
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State | CA
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Zip | 95667-6269
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Country | US
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Telephone | 530-621-7700
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Fax | 530-621-7713
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | FOSSIL
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State | OR
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Zip | 97830-0307
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Country | US
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Telephone | 541-763-2725
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95031871
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 30806.1182
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 343675
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201408154NP-PP
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 343675
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201408154
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License Number State | OR
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0991779
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License Number State | CO
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