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General NPI Number Information
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NPI Number | 1780733386
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Entity Type | Individual
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Provider Name | MRS. ANNA MARIE SATAKE
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-651-4130
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Fax | 707-651-4307
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Provider Business Mailing Address
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Address Line | 4501 REINHARDT DR
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City | OAKLAND
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State | CA
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Zip | 94619-2970
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Country | US
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Telephone | 510-530-2831
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 623371
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License Number State | CA
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