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General NPI Number Information
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NPI Number | 1013573302
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Entity Type | Individual
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Provider Name | MONIKA TALLEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 781 MILL ST
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City | RENO
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State | NV
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Zip | 89502-1320
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Country | US
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Telephone | 775-398-1981
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Fax | 775-398-1984
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Provider Business Mailing Address
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Address Line | PO BOX 511250
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City | LOS ANGELES
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State | CA
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Zip | 90051-7805
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Country | US
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Telephone | 510-929-1400
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Fax | 510-929-1414
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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 | 95003095
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License Number State | CA
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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 | 849231
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License Number State | NV
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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 | 278023
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License Number State | AZ
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