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General NPI Number Information
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NPI Number | 1386153625
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Entity Type | Individual
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Provider Name | THERESA LYNN SALES FNP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 18144 SECO ST
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City | JAMESTOWN
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State | CA
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Zip | 95327-9498
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Country | US
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Telephone | 209-984-4820
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Fax | 209-984-4825
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | JAMESTOWN
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State | CA
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Zip | 95327-0535
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Country | US
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Telephone | 209-984-4820
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Fax | 209-984-4825
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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 | 95026937
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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 | 95026937
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License Number State | CA
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