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General NPI Number Information
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NPI Number | 1093652349
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Entity Type | Organization
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Legal Business Name | HEALDSBURG DIRECT CARE AN ADVANCED PRACTICE NURSING CORP
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 455 MARCH AVE STE B
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City | HEALDSBURG
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State | CA
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Zip | 95448-3385
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Country | US
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Telephone | 707-370-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 455 MARCH AVE STE B
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City | HEALDSBURG
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State | CA
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Zip | 95448-3385
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Country | US
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Telephone | 707-370-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN MARIE MCDONALD
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Credential | NP
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Telephone | 707-370-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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