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General NPI Number Information
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NPI Number | 1174033062
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Entity Type | Individual
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Provider Name | JENNIFER DACUMA DARDEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 280 W MACARTHUR BLVD
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City | OAKLAND
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State | CA
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Zip | 94611-5642
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Country | US
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Telephone | 510-752-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 972 RANDOLPH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3031
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Country | US
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Telephone | 415-420-6980
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 781123
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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 | F08170836
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95005381
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License Number State | CA
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