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General NPI Number Information
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NPI Number | 1346552098
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Entity Type | Individual
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Provider Name | TRACY LYNNE ADAMS N.P,MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 07/10/2010
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Provider Practice Location Address
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Address Line | 6501 COYLE AVE
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City | CARMICHEAL
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State | CA
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Zip | 95608
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Country | US
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Telephone | 916-543-7903
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Fax |
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Provider Business Mailing Address
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Address Line | 604 NORRIS CT
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City | LINCOLN
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State | CA
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Zip | 95648-3223
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Country | US
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Telephone | 916-543-7903
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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 | 583567
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 16233
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License Number State | CA
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