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General NPI Number Information
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NPI Number | 1285584177
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Entity Type | Individual
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Provider Name | MONIKA SAMANTHA DEAVER FNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 3425 N 1ST ST
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City | FRESNO
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State | CA
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Zip | 93726-6821
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Country | US
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Telephone | 877-960-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 673 E SIERRA AVE
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City | FRESNO
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State | CA
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Zip | 93710-3946
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Country | US
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Telephone | 559-907-4051
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95038332
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License Number State | CA
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