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General NPI Number Information
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NPI Number | 1811855216
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Entity Type | Individual
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Provider Name | ERIC H GNESA
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Gender | Male
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1420 N TRACY BLVD
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City | TRACY
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State | CA
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Zip | 95376-3451
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Country | US
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Telephone | 209-832-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 862 MIRAGGIO DR
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City | PATTERSON
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State | CA
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Zip | 95363-9273
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Country | US
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Telephone | 209-648-3714
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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 | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | 70691
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License Number State | CA
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