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General NPI Number Information
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NPI Number | 1619272952
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Entity Type | Individual
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Provider Name | KARA SUZANNE ZERTUCHE FNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 1000 G ST STE 125
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City | SACRAMENTO
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State | CA
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Zip | 95814-0894
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Country | US
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Telephone | 707-268-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 MILL CREEK RD
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4483
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Country | US
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Telephone | 707-599-0858
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20525
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License Number State | CA
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