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General NPI Number Information
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NPI Number | 1154994689
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Entity Type | Individual
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Provider Name | PEARLITA RANADA SANTIAGO FNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 198 N G STREET
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City | EMPIRE
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State | CA
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Zip | 95319-0000
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Country | US
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Telephone | 866-682-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 3278 SAN PABLO WAY
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City | UNION CITY
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State | CA
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Zip | 94587-2728
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Country | US
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Telephone | 510-648-6429
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F07211159
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95018443
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018443
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License Number State | CA
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