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General NPI Number Information
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NPI Number | 1750328951
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Entity Type | Individual
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Provider Name | ALENE ANTELMAN-ALDRICH PA
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 2825 J ST SUITE 235
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City | SACRAMENTO
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State | CA
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Zip | 95816-4300
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Country | US
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Telephone | 916-446-3777
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Fax | 916-446-3788
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Provider Business Mailing Address
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Address Line | 3315 AMERICAN RIVER DR
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City | SACRAMENTO
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State | CA
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Zip | 95864-5712
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Country | US
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Telephone | 916-487-2387
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA12935
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License Number State | CA
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