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General NPI Number Information
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NPI Number | 1760189336
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Entity Type | Individual
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Provider Name | SABRINA LY VANGKHUE
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Gender | Female
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1495 RIVER PARK DR STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-4517
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Country | US
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Telephone | 916-925-7020
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Fax | 916-925-3680
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Provider Business Mailing Address
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Address Line | 1495 RIVER PARK DR STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-4517
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Country | US
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Telephone | 916-925-7020
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Fax | 916-925-3680
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA63497
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License Number State | CA
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