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General NPI Number Information
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NPI Number | 1326721473
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Entity Type | Individual
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Provider Name | DINA M LLOYD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 75 ROWLAND WAY STE 230
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City | NOVATO
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State | CA
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Zip | 94945-5037
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Country | US
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Telephone | 415-897-5171
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 7TH ST
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City | NOVATO
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State | CA
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Zip | 94945-2208
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Country | US
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Telephone | 415-246-2694
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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 | 95025123
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License Number State | CA
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