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General NPI Number Information
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NPI Number | 1194539718
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Entity Type | Individual
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Provider Name | TANIA MAE MENDOZA GOLO-ATKIN BSN, RN, AMB-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 450 BROADWAY ST
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3132
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Country | US
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Telephone | 650-723-5643
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Fax | 650-721-3425
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Provider Business Mailing Address
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Address Line | 550 SHANNON WAY APT 6109
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1730
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Country | US
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Telephone | 208-914-5307
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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 | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 95143916
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License Number State | CA
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