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General NPI Number Information
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NPI Number | 1871823096
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Entity Type | Individual
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Provider Name | ROXANNE J WHITING FNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2275 ARLINGTON DR
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1132
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Country | US
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Telephone | 877-673-6322
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Fax |
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Provider Business Mailing Address
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Address Line | 5080 PEBBLEWOOD CT
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City | PLEASANTON
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State | CA
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Zip | 94566-5955
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Country | US
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Telephone | 925-485-1640
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 746071
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 189A74
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18974
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License Number State | CA
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