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NPI 1558505115

NPI 1558505115 : ERYN M XAVIER M.D. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1558505115
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    Entity Type          |    Individual 
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    Provider Name        |    ERYN M XAVIER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/27/2009
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    Last Update Date     |    12/15/2021
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Provider Practice Location Address
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    Address Line         |    1201 ALHAMBRA BLVD SUITE 230
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95816-5238
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    Country              |    US
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    Telephone            |    916-739-1007
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    Fax                  |    916-731-7815
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Provider Business Mailing Address
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    Address Line         |    1201 ALHAMBRA BLVD SUITE 230
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95816-5238
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    Country              |    US
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    Telephone            |    916-739-1007
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    Fax                  |    916-731-7815
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    A113460
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    License Number State |    CA
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