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General NPI Number Information
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NPI Number | 1104071612
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Entity Type | Individual
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Provider Name | MRS. ALYSON KRISTIE POMEROY
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Gender | Female
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 7248 S LAND PARK DR STE 103
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City | SACRAMENTO
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State | CA
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Zip | 95831-3661
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Country | US
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Telephone | 916-388-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 9343 TECH CENTER DR FL 2
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City | SACRAMENTO
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State | CA
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Zip | 95826-2563
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Country | US
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Telephone | 916-388-6336
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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