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General NPI Number Information
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NPI Number | 1396180816
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Entity Type | Individual
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Provider Name | VALARIE KANE PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 3280 PROFESSIONAL DR
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City | AUBURN
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State | CA
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Zip | 95602-2412
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Country | US
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Telephone | 530-886-8630
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 153
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City | ROSEVILLE
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State | CA
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Zip | 95661-0153
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Country | US
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Telephone | 209-200-0777
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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