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General NPI Number Information
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NPI Number | 1578450037
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Entity Type | Individual
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Provider Name | SIRIA ANETE MIYAGISHIMA NP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 901 OLIVE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4144
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Country | US
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Telephone | 402-770-3733
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Fax | 661-759-2056
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Provider Business Mailing Address
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Address Line | 9709 GREENWAY RANCH LN
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City | SHAFTER
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State | CA
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Zip | 93263-2285
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Country | US
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Telephone | 402-770-3373
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Fax | 661-759-2056
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NPF95035293
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License Number State | CA
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