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General NPI Number Information
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NPI Number | 1497702138
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Entity Type | Individual
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Provider Name | DENISE RENEE LENOIR FNP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2940 SUMMIT ST #1 COMPREHENSIVE ALLERGY SERVICES INC
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City | OAKLAND
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State | CA
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Zip | 94609-3405
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Country | US
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Telephone | 510-834-4897
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Fax | 510-834-4830
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Provider Business Mailing Address
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Address Line | 2940 SUMMIT ST #1
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City | OAKLAND
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State | CA
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Zip | 94609-3405
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Country | US
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Telephone | 510-834-4897
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Fax | 510-834-4830
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | RN302632
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License Number State | CA
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