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General NPI Number Information
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NPI Number | 1518893247
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Entity Type | Individual
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Provider Name | RANDON SAGNEP RN
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Gender | Male
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 850 WEBSTER ST
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City | PALO ALTO
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State | CA
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Zip | 94301-2849
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Country | US
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Telephone | 650-690-6109
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Fax |
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Provider Business Mailing Address
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Address Line | 850 WEBSTER ST
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City | PALO ALTO
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State | CA
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Zip | 94301-2849
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95246959
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 2005469512
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License Number State | CA
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