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General NPI Number Information
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NPI Number | 1225650856
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Entity Type | Individual
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Provider Name | KRISTIANNE MARIE AMURAO MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1011 RIVERSIDE AVE
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City | ROSEVILLE
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State | CA
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Zip | 95678
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Country | US
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Telephone | 916-784-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 PALOMARES WAY
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City | ROSEVILLE
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State | CA
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Zip | 95747-5018
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Country | US
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Telephone |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MA11860100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201347
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License Number State | CA
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