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General NPI Number Information
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NPI Number | 1669504999
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Entity Type | Individual
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Provider Name | REBECCA M DEAN CNS
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 6320 RIO BONITO DR
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City | CARMICHAEL
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State | CA
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Zip | 95608-5215
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Country | US
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Telephone | 916-716-2874
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Fax |
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Provider Business Mailing Address
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Address Line | 6320 RIO BONITO DR
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City | CARMICHAEL
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State | CA
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Zip | 95608-5215
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Country | US
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Telephone | 916-716-2874
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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 | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 397499
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License Number State | CA
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