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General NPI Number Information
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NPI Number | 1285003814
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Entity Type | Individual
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Provider Name | REBECCA ANNE SPEAR DNP, ARNP, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 270 PERKINS ST
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City | SONOMA
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State | CA
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Zip | 95476-6955
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Country | US
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Telephone | 707-938-3131
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Fax | 707-938-3678
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Provider Business Mailing Address
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Address Line | 7200 REDWOOD BLVD STE 200
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City | NOVATO
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State | CA
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Zip | 94945-3247
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Country | US
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Telephone | 415-893-4800
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95005718
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License Number State | CA
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