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General NPI Number Information
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NPI Number | 1275960882
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Entity Type | Individual
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Provider Name | MICHAEL JOHN SALVANA SISON RN, NP, RNFA
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Gender | Male
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 11910 IRWINDALE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6496
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Country | US
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Telephone | 661-444-0889
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Fax |
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Provider Business Mailing Address
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Address Line | 11910 IRWINDALE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6496
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Country | US
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Telephone | 661-444-0889
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN740119
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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 | 95032547
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN740119
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License Number State | CA
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