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General NPI Number Information
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NPI Number | 1306905336
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Entity Type | Organization
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Legal Business Name | PRIEST NP SERVICES
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/22/2008
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Provider Practice Location Address
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Address Line | 750 GRANT AVE SUITE 150
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City | NOVATO
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State | CA
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Zip | 94945-7001
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Country | US
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Telephone | 415-899-9800
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Fax | 415-899-9805
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Provider Business Mailing Address
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Address Line | 750 GRANT AVE SUITE 150
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City | NOVATO
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State | CA
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Zip | 94945-7001
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Country | US
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Telephone | 415-899-9800
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Fax | 415-899-9805
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Authorized Official
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Title or Position | CEO OWNER
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Name | DEBRA BAKERJIAN
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Credential | PHD, FNP
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Telephone | 415-899-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 385529
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 443622
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 169169
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 312821
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 514203
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 484393
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 284559
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License Number State | CA
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