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General NPI Number Information
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NPI Number | 1134357700
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Entity Type | Individual
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Provider Name | TENAJA S. GAY PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1144 SONOMA AVE STE 105
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City | SANTA ROSA
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State | CA
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Zip | 95405-4812
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Country | US
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Telephone | 707-202-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 JENNINGS AVE
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City | SANTA ROSA
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State | CA
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Zip | 95401-4532
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Country | US
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Telephone | 919-622-2818
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-01732
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 53331
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License Number State | CA
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