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General NPI Number Information
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NPI Number | 1942508411
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Entity Type | Organization
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Legal Business Name | VANESSA SANNE RN CFNP LLC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 527 SE BASELINE ST SUITE G
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City | HILLSBORO
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State | OR
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Zip | 97123-4149
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Country | US
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Telephone | 503-941-9129
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Fax | 503-941-9132
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Provider Business Mailing Address
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Address Line | 1338 SE 61ST PL
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City | HILLSBORO
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State | OR
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Zip | 97123-6789
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Country | US
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Telephone | 503-356-2385
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Fax |
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Authorized Official
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Title or Position | RN, FNP-C
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Name | VANESSA KATHLEEN SANNE
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Credential | RN, FNP-C
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Telephone | 503-356-2385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 201050213NP
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License Number State | OR
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