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General NPI Number Information
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NPI Number | 1063761880
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Entity Type | Individual
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Provider Name | CLAUDIA ZDREMTAN
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Gender | Female
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 500 CROWN POINT CIR
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City | GRASS VALLEY
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State | CA
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Zip | 95945-9561
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Country | US
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Telephone | 530-265-1437
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Fax |
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Provider Business Mailing Address
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Address Line | 2841 KOPER DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5243
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Country | US
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Telephone | 415-910-8271
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 838323
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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