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General NPI Number Information
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NPI Number | 1457658502
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Entity Type | Individual
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Provider Name | APRIL FAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 3691 FAIR OAKS BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95864-7203
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Country | US
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Telephone | 626-232-0688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660726
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City | SACRAMENTO
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State | CA
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Zip | 95866-0726
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 19550
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License Number State | CA
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