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General NPI Number Information
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NPI Number | 1134103625
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Entity Type | Individual
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Provider Name | LISA M ADAMEK NP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 3017 DOUGLAS BLVD STE 300
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City | ROSEVILLE
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State | CA
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Zip | 95661-3850
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Country | US
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Telephone | 916-581-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 HORSESHOE BAR RD # A243
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City | LOOMIS
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State | CA
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Zip | 95650-8537
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Country | US
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Telephone | 916-581-1387
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 569099
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License Number State | CA
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