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General NPI Number Information
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NPI Number | 1932540705
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Entity Type | Individual
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Provider Name | KAITLIN WARREN CPNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 12 CAMINO ENCINAS
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City | ORINDA
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State | CA
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Zip | 94563-3304
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Country | US
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Telephone | 510-204-8180
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382428
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95000795
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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 | NPF95000795
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 657699-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95032461
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License Number State | CA
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