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General NPI Number Information
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NPI Number | 1528884194
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Entity Type | Individual
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Provider Name | DEONNA THOMPSON MSN RN CNL PHN
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Gender | Female
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Dates
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Enumeration Date | 11/28/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 2950 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94601-2228
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Country | US
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Telephone | 510-535-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 625 16TH ST UNIT 521
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City | OAKLAND
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State | CA
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Zip | 94612-2181
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Country | US
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Telephone | 510-837-0192
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN95257047
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License Number State | CA
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