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General NPI Number Information
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NPI Number | 1942934310
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Entity Type | Individual
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Provider Name | BRENDA MOGERE REGISTERED NURSE RN
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 329 W 8TH ST STE 109
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City | HANFORD
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State | CA
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Zip | 93230-4533
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Country | US
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Telephone | 559-582-2500
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Fax | 559-582-0550
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Provider Business Mailing Address
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Address Line | 3057 N YALE WAY
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City | HANFORD
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State | CA
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Zip | 93230-8573
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Country | US
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Telephone | 302-252-5636
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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 | 95034306
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 95109508
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License Number State | CA
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