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NPI 1568428514

NPI 1568428514 : VICTORIA F OWENS FNP : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1568428514
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA F OWENS FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/26/2006
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    Last Update Date     |    11/15/2012
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Provider Practice Location Address
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    Address Line         |    2425 STOCKTON BLVD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-2215
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    Country              |    US
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    Telephone            |    916-453-2113
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    Fax                  |    916-453-2373
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Provider Business Mailing Address
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    Address Line         |    2425 STOCKTON BLVD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-2215
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    Country              |    US
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    Telephone            |    916-453-2113
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    Fax                  |    916-453-2373
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    13864
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    License Number State |    CA
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