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General NPI Number Information
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NPI Number | 1437361680
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Entity Type | Individual
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Provider Name | FERDIE TALENTO
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 11121 SUN CENTER DR SUITE G
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6161
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Country | US
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Telephone | 916-631-0112
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Fax | 916-631-1652
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Provider Business Mailing Address
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Address Line | 11121 SUN CENTER DR SUITE G
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6161
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Country | US
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Telephone | 916-631-0112
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Fax | 916-631-1652
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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 | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number | MTA 40677
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 1190
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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