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General NPI Number Information
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NPI Number | 1023719945
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Entity Type | Individual
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Provider Name | GAYANE SAAKYAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 815 COURT ST STE 7
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City | JACKSON
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State | CA
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Zip | 95642-2154
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Country | US
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Telephone | 209-223-2034
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 ALHAMBRA BLVD STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95816-5241
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A203992
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License Number State | CA
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