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General NPI Number Information
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NPI Number | 1982278701
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Entity Type | Individual
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Provider Name | SANTRO SOPHIA JEPIL RN BSN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 2801 EUREKA WAY
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City | REDDING
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State | CA
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Zip | 96001-0222
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Country | US
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Telephone | 530-246-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 8721 GREENBACK LN APT 26
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City | ORANGEVALE
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State | CA
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Zip | 95662-4080
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Country | US
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Telephone | 619-245-7378
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 95212534
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License Number State | CA
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