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General NPI Number Information
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NPI Number | 1194679589
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Entity Type | Individual
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Provider Name | MICHELLE PERRINO
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1850 SIERRA GARDENS DR # 5
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City | ROSEVILLE
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State | CA
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Zip | 95661-2912
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Country | US
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Telephone | 916-412-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 1079 SUNRISE AVE STE B
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City | ROSEVILLE
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State | CA
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Zip | 95661-7009
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Country | US
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Telephone | 916-412-1983
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 752316
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License Number State | CA
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