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NPI 1891061701

NPI 1891061701 : KATHY ANNE WEINBERG RN, CNS : PLEASANTON, CA

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General NPI Number Information
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    NPI Number           |    1891061701
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    Entity Type          |    Individual 
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    Provider Name        |    KATHY ANNE WEINBERG RN, CNS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/25/2012
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    Last Update Date     |    03/25/2012
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Provider Practice Location Address
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    Address Line         |    4507 GATETREE CIR 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94566-6031
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    Country              |    US
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    Telephone            |    925-425-9244
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4507 GATETREE CIR 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94566-6031
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    Country              |    US
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    Telephone            |    925-425-9244
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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        |    364SC0200X
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    Taxonomy Name        |    Critical Care Medicine Clinical Nurse Specialist
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    License Number       |    357523
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    364SC0200X
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    Taxonomy Name        |    Critical Care Medicine Clinical Nurse Specialist
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    License Number       |    3435
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    364SC0200X
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    Taxonomy Name        |    Critical Care Medicine Clinical Nurse Specialist
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    License Number       |    26NC06155900
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    License Number State |    NJ
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Taxonomy #4
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    Taxonomy Code        |    364SC0200X
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    Taxonomy Name        |    Critical Care Medicine Clinical Nurse Specialist
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    License Number       |    26NR06155900
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    License Number State |    NJ
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