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General NPI Number Information
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NPI Number | 1558786335
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Entity Type | Individual
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Provider Name | BONNIE BROWN LVN
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Gender | Female
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 5 NIKKI CT
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City | ELK GROVE
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State | CA
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Zip | 95758-6758
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Country | US
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Telephone | 916-803-0458
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Fax |
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Provider Business Mailing Address
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Address Line | 6643 VALLEY HI DR #337
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City | SACRAMENTO
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State | CA
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Zip | 95823-7017
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Country | US
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Telephone | 916-399-8267
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 214031
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License Number State | CA
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