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General NPI Number Information
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NPI Number | 1750435244
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD SHASTA DIABLO INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 2 H ST
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City | SAN RAFAEL
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State | CA
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Zip | 94901-1700
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Country | US
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Telephone | 415-459-4907
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Fax |
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Provider Business Mailing Address
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Address Line | 2185 PACHECO ST
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City | CONCORD
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State | CA
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Zip | 94520-2309
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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 | PRESIDENT & CEO
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Name | NICOLE BARNETT
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Credential |
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Telephone | 925-676-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLF11807
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License Number State | CA
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