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General NPI Number Information
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NPI Number | 1932245164
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Entity Type | Individual
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Provider Name | JOAN ELIZABETH FANUCCHI B.S.N., R.N., P.H.N.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 137 NORTH COTTONWOOD STREET SUITE # 2450
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City | WOODLAND
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State | CA
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Zip | 95695
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Country | US
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Telephone | 530-666-8645
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Fax | 530-666-7447
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Provider Business Mailing Address
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Address Line | 4601 BLACKROCK DR APT 725
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City | SACRAMENTO
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State | CA
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Zip | 95835-2218
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Country | US
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Telephone | 530-666-8645
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Fax | 530-666-7447
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 684984
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 684984
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | 684984
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 684984
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License Number State | CA
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