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General NPI Number Information
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NPI Number | 1720794654
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Entity Type | Individual
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Provider Name | ERIAM SOLOME NNAMALIRI
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Gender | Female
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 5525 DEWEY DRIVE
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City | FAIR OAKS
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State | CA
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Zip | 95628
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Country | US
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Telephone | 916-470-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 5025 FANDANGO LOOP
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City | ROSEVILLE
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State | CA
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Zip | 95747-4375
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Country | US
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Telephone | 916-470-4060
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95024790
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 722206
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License Number State | CA
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