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General NPI Number Information
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NPI Number | 1154270494
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Entity Type | Individual
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Provider Name | DONNA CATHLEEN MALLARI MARTINEZ NP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 6137 WADDINGTON WAY
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City | ROSEVILLE
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State | CA
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Zip | 95747-4550
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Country | US
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Telephone | 510-512-8274
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Fax |
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Provider Business Mailing Address
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Address Line | 6137 WADDINGTON WAY
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City | ROSEVILLE
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State | CA
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Zip | 95747-4550
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95038578
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 883048
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License Number State | NV
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