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General NPI Number Information
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NPI Number | 1730275710
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Entity Type | Individual
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Provider Name | SVETLANA A GORBUNOVA NP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1100 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6978
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Country | US
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Telephone | 415-600-1051
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone | 415-600-1051
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18338
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R58901
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License Number State | NM
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