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General NPI Number Information
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NPI Number | 1679065817
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Entity Type | Individual
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Provider Name | CORINNE N JANSEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 2637 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2512
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Country | US
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Telephone | 925-393-0033
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Fax | 925-301-8956
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Provider Business Mailing Address
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Address Line | 2637 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2512
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Country | US
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Telephone | 929-393-0033
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Fax | 925-301-8956
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD18565
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 201468
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00000
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License Number State | MA
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