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General NPI Number Information
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NPI Number | 1477244861
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Entity Type | Organization
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Legal Business Name | GENERATIONAL WELLNESS AND NURSING SERVICES INC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 334 D ST
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City | DAVIS
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State | CA
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Zip | 95616-4129
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Country | US
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Telephone | 916-398-4894
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Fax | 916-975-9811
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Provider Business Mailing Address
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Address Line | 334 D ST
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City | DAVIS
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State | CA
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Zip | 95616-4129
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Country | US
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Telephone | 916-398-4894
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Fax | 916-975-9811
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Authorized Official
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Title or Position | OWNER
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Name | KENZI MCCALISTER
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Credential | NP
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Telephone | 916-398-4894
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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 |
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License Number State |
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