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General NPI Number Information
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NPI Number | 1346134699
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Entity Type | Individual
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Provider Name | NATALIYA DOROFEYEV PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 6839 FIVE STAR BLVD STE D
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City | ROCKLIN
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State | CA
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Zip | 95677-2685
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Country | US
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Telephone | 916-964-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 FULTON AVE APT 121
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City | SACRAMENTO
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State | CA
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Zip | 95825-5301
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Country | US
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Telephone | 916-838-5707
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | CA
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