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General NPI Number Information
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NPI Number | 1306764709
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Entity Type | Individual
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Provider Name | GAYNELL NICOLE DODDS RN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 836 ELM DR
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City | RODEO
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State | CA
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Zip | 94572-1702
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Country | US
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Telephone | 510-932-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 836 ELM DR
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City | RODEO
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State | CA
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Zip | 94572-1702
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Country | US
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Telephone | 510-932-3722
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 95290186
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 95290186
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95290186
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License Number State | CA
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