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General NPI Number Information
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NPI Number | 1467754879
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Entity Type | Individual
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Provider Name | MICHELE SENBERTRAND NP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 17 E SIR FRANCIS DRAKE BLVD
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City | LARKSPUR
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State | CA
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Zip | 94939-1727
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Country | US
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Telephone | 415-720-8273
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Fax | 888-767-1919
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Provider Business Mailing Address
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Address Line | 13 LIBERTY LN
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City | PETALUMA
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State | CA
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Zip | 94952-2156
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Country | US
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Telephone | 917-817-1146
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305461-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95003266
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License Number State | CA
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