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General NPI Number Information
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NPI Number | 1528268638
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Entity Type | Individual
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Provider Name | PATRICIA JO DIPINTO PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 4001 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3626
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Country | US
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Telephone | 916-453-4469
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Fax | 916-453-4467
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Provider Business Mailing Address
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Address Line | 4001 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3626
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Country | US
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Telephone | 916-453-4469
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Fax | 916-453-4467
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA16253
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License Number State | CA
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