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General NPI Number Information
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NPI Number | 1720577091
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Entity Type | Individual
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Provider Name | JIMELA KRYSTAL ABDELKADIR
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Gender | Female
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1050 FULTON AVE STE 35
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City | SACRAMENTO
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State | CA
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Zip | 95825-4272
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Country | US
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Telephone | 916-974-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 DUCKHORN DR APT 635
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City | SACRAMENTO
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State | CA
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Zip | 95834-1079
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Country | US
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Telephone | 553-216-8311
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | CA
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