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General NPI Number Information
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NPI Number | 1558161240
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALTH, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 717 7TH STREET
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City | DAVIS
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State | CA
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Zip | 95616
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Country | US
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Telephone | 707-243-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 717 7TH ST
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City | DAVIS
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State | CA
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Zip | 95616-3708
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Country | US
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Telephone | 707-243-3348
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. AARON MIKKELSON MILLER
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Credential | MS, RN, PMHNP
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Telephone | 415-205-7913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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