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General NPI Number Information
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NPI Number | 1124254842
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Entity Type | Individual
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Provider Name | CHRISTEL N BACKERT FNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 15810 S. HARLAND ROAD STE B
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City | LATHROP
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State | CA
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Zip | 95330-9476
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Country | US
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Telephone | 209-229-4455
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Fax | 209-215-0285
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Provider Business Mailing Address
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Address Line | 15810 S. HARLAND ROAD STE B
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City | LATHROP
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State | CA
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Zip | 95330-9476
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Country | US
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Telephone | 209-229-4455
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Fax | 209-215-0285
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18958
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License Number State | CA
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