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General NPI Number Information
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NPI Number | 1679011589
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Entity Type | Individual
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Provider Name | EILEEN DE LOS REYES NATH RN, MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2017
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Last Update Date | 02/11/2017
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Provider Practice Location Address
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Address Line | 110 LA CASA VIA STE 205
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3017
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Country | US
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Telephone | 925-464-3916
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Fax |
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Provider Business Mailing Address
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Address Line | 945 OAK VIEW CIR
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City | LAFAYETTE
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State | CA
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Zip | 94549-4615
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Country | US
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Telephone | 562-310-5665
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Fax | 925-954-7575
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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 | 10934
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License Number State | CA
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