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General NPI Number Information
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NPI Number | 1003701525
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Entity Type | Individual
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Provider Name | RINA LAURENE G. BERNARDO
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 12650 W 64TH AVE UNIT 12650W64
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City | ARVADA
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State | CO
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Zip | 80004-3893
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Country | US
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Telephone | 303-431-4127
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Fax | 303-431-4553
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Provider Business Mailing Address
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Address Line | 12650 W 64TH AVE UNIT 50112650
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City | ARVADA
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State | CO
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Zip | 80004-3893
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Country | US
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Telephone | 303-431-4127
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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 | C-APN.0104370-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A184728
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License Number State | IA
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