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General NPI Number Information
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NPI Number | 1053407791
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Entity Type | Individual
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Provider Name | LETA MARILYN ROSENFIELD NP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/08/2026
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Provider Practice Location Address
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Address Line | 1600 EUREKA ROAD
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City | ROSEVILLE
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State | CA
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Zip | 95661
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Country | US
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Telephone | 916-784-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 2168 GINGER HILL LOOP
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City | LINCOLN
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State | CA
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Zip | 95648
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Country | US
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Telephone | 916-408-1617
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 483911
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP CERTIFICATE 8724
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License Number State | CA
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