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General NPI Number Information
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NPI Number | 1316989643
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Entity Type | Individual
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Provider Name | RENEE MICHELLE REDMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 39500 LIBERTY STREET
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-770-8133
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 MONTE DIABLO
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City | SAN MATEO
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State | CA
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Zip | 94401
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Country | US
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Telephone | 650-344-5747
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP15989
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License Number State | CA
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