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General NPI Number Information
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NPI Number | 1194783407
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Entity Type | Individual
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Provider Name | CLARET O NZE NP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 2100 NAPA VALLEJO HWY
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City | NAPA
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State | CA
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Zip | 94558-6234
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Country | US
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Telephone | 707-253-5095
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Fax | 707-253-5786
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Provider Business Mailing Address
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Address Line | 3700 LYON RD #137
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City | FAIRFIELD
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State | CA
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Zip | 94534-7972
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Country | US
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Telephone | 302-465-5734
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 17629
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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 | 17629
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License Number State | CA
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