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General NPI Number Information
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NPI Number | 1285382663
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Entity Type | Individual
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Provider Name | VANESSA DOLORES PAZ
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 2001 DIAMOND BLVD STE C-100
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City | CONCORD
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State | CA
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Zip | 94520-5737
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 3201 BARMOUTH DR
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City | ANTIOCH
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State | CA
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Zip | 94509-5109
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Country | US
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Telephone | 925-354-0071
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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 | 95019604
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License Number State | CA
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