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NPI 1942258744

NPI 1942258744 : REBECCA E BRIGGS FNP : COULTERVILLE, CA

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General NPI Number Information
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    NPI Number           |    1942258744
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA E BRIGGS FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2006
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    Last Update Date     |    12/07/2016
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Provider Practice Location Address
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    Address Line         |    6386 GREELEY HILL RD 
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    City                 |    COULTERVILLE
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    State                |    CA
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    Zip                  |    95311-9572
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    Country              |    US
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    Telephone            |    916-689-4111
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    Fax                  |    916-689-6620
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Provider Business Mailing Address
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    Address Line         |    6386 GREELEY HILL RD 
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    City                 |    COULTERVILLE
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    State                |    CA
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    Zip                  |    95311
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    Country              |    US
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    Telephone            |    209-878-0155
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    Fax                  |    209-878-0145
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    14537
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    14537
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    License Number State |    CA
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