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General NPI Number Information
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NPI Number | 1023009107
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Entity Type | Individual
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Provider Name | MARY ANN SARREAL GELERA NP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2005
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 516 WILLOW ST
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City | ALAMEDA
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State | CA
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Zip | 94501-6132
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Country | US
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Telephone | 510-714-8097
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Fax | 510-667-3933
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Provider Business Mailing Address
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Address Line | 2385 CARTER LN
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5216
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Country | US
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Telephone | 510-886-2693
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Fax | 510-667-3933
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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 | NP11544
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License Number State | CA
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