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General NPI Number Information
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NPI Number | 1235535162
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Entity Type | Individual
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Provider Name | PATRICIA JORGENSON FNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 2351 W MARCH LN SUITE A
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City | STOCKTON
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State | CA
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Zip | 95207-5292
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Country | US
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Telephone | 855-944-7246
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Fax | 888-991-8346
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Provider Business Mailing Address
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Address Line | 3010 BEARD RD
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City | NAPA
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State | CA
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Zip | 94558-3442
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Country | US
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Telephone | 707-255-8825
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Fax | 707-252-9325
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95001458
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License Number State | CA
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