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General NPI Number Information
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NPI Number | 1134874027
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Entity Type | Individual
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Provider Name | NATALY KUZNETSOV PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 833 FRANKLIN ST STE 8
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City | NAPA
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State | CA
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Zip | 94559-2949
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Country | US
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Telephone | 530-625-7738
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Fax | 530-862-4238
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Provider Business Mailing Address
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Address Line | 833 FRANKLIN ST STE 8
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City | NAPA
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State | CA
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Zip | 94559-2949
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Country | US
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Telephone | 530-625-7738
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Fax | 530-862-4238
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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 | 95020035
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License Number State | CA
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