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General NPI Number Information
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NPI Number | 1043107741
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Entity Type | Individual
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Provider Name | RAEDEN ELIZABETH FUCHS RN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 4250 AUBURN BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95841-4164
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Country | US
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Telephone | 916-489-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 NATOMAS PARK DR UNIT 12201
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City | SACRAMENTO
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State | CA
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Zip | 95833-2998
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Country | US
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Telephone | 979-525-9512
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN95413793
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License Number State | CA
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