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General NPI Number Information
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NPI Number | 1598360042
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Entity Type | Individual
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Provider Name | NATHANIEL CARPIO NP-C
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Gender | Male
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 6501 COYLE AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0306
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Country | US
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Telephone | 408-318-3023
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Fax |
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Provider Business Mailing Address
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Address Line | 555 CAPITOL MALL STE 570
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City | SACRAMENTO
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State | CA
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Zip | 95814-4502
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Country | US
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Telephone | 800-406-1120
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95015001
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License Number State | CA
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