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General NPI Number Information
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NPI Number | 1366999088
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE SALERA RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2016
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 386 14TH ST
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City | OAKLAND
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State | CA
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Zip | 94612-3211
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Country | US
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Telephone | 510-210-5050
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Fax | 510-981-4192
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Provider Business Mailing Address
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Address Line | 2177 E 24TH ST
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City | OAKLAND
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State | CA
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Zip | 94606-4245
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Country | US
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Telephone | 510-725-1590
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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 | 95007522
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95068339
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License Number State | CA
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