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General NPI Number Information
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NPI Number | 1598674350
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Entity Type | Organization
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Legal Business Name | NORTH CAL NUTRITION
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 9198 GREENBACK LN
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City | ORANGEVALE
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State | CA
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Zip | 95662-5900
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Country | US
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Telephone | 916-544-1256
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ELKHORN BLVD
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City | RIO LINDA
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State | CA
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Zip | 95673-3214
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Country | US
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Telephone | 916-544-1256
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYNESHA ZACARIAS
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Credential |
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Telephone | 916-544-1256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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