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General NPI Number Information
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NPI Number | 1295150530
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Entity Type | Individual
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Provider Name | NATALIE LAUREN VALLOT CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 2805 J ST STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-4307
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Country | US
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Telephone | 916-231-8755
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Fax |
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Provider Business Mailing Address
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Address Line | 3445 BRIERTOWN CT
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City | WALNUT CREEK
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State | CA
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Zip | 94598-4010
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Country | US
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Telephone | 530-840-4636
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95000161
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License Number State | CA
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