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NPI 1023479961

NPI 1023479961 : SHANNON ALMEIDA : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1023479961
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    Entity Type          |    Individual 
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    Provider Name        |    SHANNON ALMEIDA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2016
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    Last Update Date     |    04/22/2025
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Provider Practice Location Address
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    Address Line         |    3331 POWER INN RD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95826-3889
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    Country              |    US
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    Telephone            |    951-517-6038
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2100 VALLEY VIEW PKWY APT 1828 
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    City                 |    EL DORADO HILLS
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    State                |    CA
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    Zip                  |    95762-5542
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    Country              |    US
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    Telephone            |    951-517-6038
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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        |    167G00000X
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    Taxonomy Name        |    Licensed Psychiatric Technician
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    License Number       |    PT41606
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    License Number State |    CA
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