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General NPI Number Information
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NPI Number | 1285434126
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Entity Type | Organization
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Legal Business Name | GEMINI HEALTH & WELLNESS NURSING CORP.
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 406 SUNRISE AVE STE 330
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City | ROSEVILLE
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State | CA
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Zip | 95661-4146
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Country | US
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Telephone | 916-547-8158
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Fax | 866-390-0008
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Provider Business Mailing Address
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Address Line | 406 SUNRISE AVE STE 330
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City | ROSEVILLE
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State | CA
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Zip | 95661-4146
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Country | US
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Telephone | 916-547-8158
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Fax | 866-390-0008
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MR. WILLIAM JARRETT WILSON
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Credential | FNP
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Telephone | 916-918-1441
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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 |
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License Number State |
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