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General NPI Number Information
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NPI Number | 1649038654
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Entity Type | Organization
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Legal Business Name | STONE CREST GROUP A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 3423 CRESTVIEW CT
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City | NAPA
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State | CA
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Zip | 94558-5326
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Country | US
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Telephone | 707-815-1924
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Fax |
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Provider Business Mailing Address
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Address Line | 3423 CRESTVIEW CT
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City | NAPA
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State | CA
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Zip | 94558-5326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANITA SEMPLE
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Credential | FNP
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Telephone | 707-815-1924
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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 |
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License Number State |
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