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General NPI Number Information
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NPI Number | 1376221390
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Entity Type | Individual
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Provider Name | JULIA ELIZABETH REISCHL NP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 575 AUTO CENTER DR
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City | WATSONVILLE
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State | CA
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Zip | 95076-3727
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Country | US
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Telephone | 831-288-6537
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Fax | 831-722-2855
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Provider Business Mailing Address
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Address Line | 3400 DATA DR ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 845654
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95034502
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License Number State | CA
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