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General NPI Number Information
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NPI Number | 1679313175
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Entity Type | Organization
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Legal Business Name | SS NP NURSING CORP
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 2730 GATEWAY OAKS DR STE 215
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City | SACRAMENTO
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State | CA
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Zip | 95833-3503
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Country | US
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Telephone | 707-404-3731
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Fax | 866-701-5985
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Provider Business Mailing Address
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Address Line | 2730 GATEWAY OAKS DR STE 215
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City | SACRAMENTO
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State | CA
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Zip | 95833-3503
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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 | CEO
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Name | SOMER SCHREIBER-SMALL
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Credential |
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Telephone | 707-404-3731
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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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