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General NPI Number Information
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NPI Number | 1720238918
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Entity Type | Individual
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Provider Name | KERI SCHWARTZ FNP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 10121 PINE AVE
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City | TRUCKEE
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State | CA
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Zip | 96161-4856
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Country | US
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Telephone | 530-587-0611
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 E.FRANCISCO BLVD. SUITE B
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City | SAN RAFAEL
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State | CA
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Zip | 94901
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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 |
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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 | NP20353
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60047639
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 20535
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License Number State | CA
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