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General NPI Number Information
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NPI Number | 1225572258
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Entity Type | Individual
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Provider Name | MRS. ANNIE SHAHINIAN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3400 COTTAGE WAY STE G2 #30493
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City | SACRAMENTO
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State | CA
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Zip | 95825-2501
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Country | US
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Telephone | 323-834-9232
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 COTTAGE WAY STE G2 #30493
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 323-834-9232
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-319171
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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 | 95005036
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License Number State | CA
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