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General NPI Number Information
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NPI Number | 1245018993
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Entity Type | Individual
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Provider Name | MELISSA ANN IM-GIUFFRIDA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 101 8TH ST STE 100
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City | OAKLAND
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State | CA
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Zip | 94607-4707
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Country | US
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Telephone | 510-986-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 193 SAINT GERMAIN AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-2131
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Country | US
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Telephone | 646-867-9520
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95026514
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License Number State | CA
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