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General NPI Number Information
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NPI Number | 1255219721
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Entity Type | Individual
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Provider Name | LEO ROSAS SAFFARI WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 678 N WILSON WAY # G
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City | STOCKTON
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State | CA
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Zip | 95205-4272
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Country | US
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Telephone | 209-466-2081
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Fax |
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Provider Business Mailing Address
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Address Line | 2362 AMERICAN RIVER DR APT 109
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City | SACRAMENTO
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State | CA
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Zip | 95825-7034
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Country | US
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Telephone | 916-342-5614
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95036823
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License Number State | CA
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