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General NPI Number Information
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NPI Number | 1174614010
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Entity Type | Individual
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Provider Name | DARIENNE M MARCETTI NP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1300 MABLE AVE STE C
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City | MODESTO
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State | CA
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Zip | 95355-1120
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Country | US
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Telephone | 209-577-2799
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Fax | 209-720-7211
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Provider Business Mailing Address
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Address Line | 1300 MABLE AVE STE C
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City | MODESTO
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State | CA
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Zip | 95355-1120
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Country | US
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Telephone | 209-577-2799
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Fax | 209-720-7211
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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 | 546588
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 1799
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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 | 13142
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License Number State | CA
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