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General NPI Number Information
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NPI Number | 1205859311
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Entity Type | Individual
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Provider Name | TONI M MCFADDEN CNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 3536 MENDOCINO AVE STE 200
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City | SANTA ROSA
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State | CA
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Zip | 95403-3634
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Country | US
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Telephone | 707-573-6166
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Fax | 707-573-6165
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Provider Business Mailing Address
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Address Line | 3536 MENDOCINO AVE STE 200
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City | SANTA ROSA
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State | CA
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Zip | 95403-3634
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Country | US
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Telephone | 707-525-6485
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Fax | 707-573-6918
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R37008
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | R37008
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 16959
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License Number State | CA
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