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NPI 1114616992

NPI 1114616992 : RONAK SOLIEMANNJAD PMHNP : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1114616992
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    Entity Type          |    Individual 
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    Provider Name        |    RONAK SOLIEMANNJAD PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2023
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    Last Update Date     |    05/05/2023
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Provider Practice Location Address
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    Address Line         |    4045 STOCKDALE HWY 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-2021
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    Country              |    US
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    Telephone            |    661-735-8860
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7850 WHITE LN STE E301 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-7698
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    Country              |    US
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    Telephone            |    661-735-8860
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    95024983
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    License Number State |    CA
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