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General NPI Number Information
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NPI Number | 1871596353
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Entity Type | Individual
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Provider Name | JULIE A. HANNAH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 151 N SUNRISE AVE STE 1201
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City | ROSEVILLE
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State | CA
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Zip | 95661-2961
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Country | US
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Telephone | 916-780-0110
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Fax | 916-536-7241
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Provider Business Mailing Address
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Address Line | 1177 ESSINGTON LN
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City | ROSEVILLE
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State | CA
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Zip | 95747-9523
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Country | US
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Telephone | 678-899-1870
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95010947
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License Number State | CA
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