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General NPI Number Information
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NPI Number | 1538332176
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Entity Type | Individual
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Provider Name | DEANNE MARIE NYLAND MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 6600 MERCY CT STE 180A
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City | FAIR OAKS
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State | CA
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Zip | 95628-3198
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Country | US
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Telephone | 916-966-2700
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Fax | 916-966-0749
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Provider Business Mailing Address
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Address Line | 1111 EXPOSITION BLVD BLDG 700
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City | SACRAMENTO
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State | CA
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Zip | 95815-4314
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Country | US
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Telephone | 916-736-3399
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A123960
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License Number State | CA
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