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General NPI Number Information
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NPI Number | 1376078287
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Entity Type | Individual
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Provider Name | ANDREW ONAKA PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 6501 COYLE AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0306
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Country | US
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Telephone | 916-537-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 611 SADDLEROCK CT
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City | ROCKLIN
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State | CA
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Zip | 95765-6021
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Country | US
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Telephone | 209-602-3772
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Fax | 209-602-3772
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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 | PA54743
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License Number State | CA
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