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General NPI Number Information
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NPI Number | 1952655623
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Entity Type | Organization
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Legal Business Name | NEW MILLENNIUM CLINICAL
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 1001 NUT TREE RD SUITE 200
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City | VACAVILLE
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State | CA
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Zip | 95687-4166
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Country | US
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Telephone | 707-455-8210
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 NUT TREE RD SUITE 200
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City | VACAVILLE
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State | CA
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Zip | 95687-4166
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Country | US
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Telephone | 707-455-8210
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. RONNI L TRAPANESE
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Credential | NP
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Telephone | 707-455-8210
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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 | 14808
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License Number State | CA
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