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General NPI Number Information
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NPI Number | 1932096039
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Entity Type | Individual
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Provider Name | DOREEN JOY TAER PAGARAN FNP
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 10111 OLD PLACERVILLE RD STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95827-3075
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Country | US
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Telephone | 916-680-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 3441 DATA DR APT 350
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7994
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Country | US
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Telephone | 510-260-7163
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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 | 95035617
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License Number State | CA
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