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General NPI Number Information
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NPI Number | 1659966547
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Entity Type | Individual
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Provider Name | VANDANA DHANDA FNP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 1600 CREEKSIDE DR
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City | FOLSOM
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State | CA
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Zip | 95630-3444
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Country | US
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Telephone | 916-932-4163
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Fax | 916-932-4167
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Provider Business Mailing Address
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Address Line | 1189 ROTHWELL LN
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City | ROSEVILLE
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State | CA
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Zip | 95747-9025
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Country | US
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Telephone | 916-850-5299
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95014602
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License Number State | CA
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