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General NPI Number Information
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NPI Number | 1841911419
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Entity Type | Individual
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Provider Name | ANNA MCCOY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 34 MARK WEST SPRINGS RD
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City | SANTA ROSA
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State | CA
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Zip | 95403-1766
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Country | US
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Telephone | 707-541-7900
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Fax | 707-573-5411
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone | 707-541-7900
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Fax | 707-573-5411
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95022486
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License Number State | CA
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