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General NPI Number Information
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NPI Number | 1043427404
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Entity Type | Individual
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Provider Name | BERNADETTE ANN HARLOW PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 34800 BOB WILSON DR
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City | SAN DIEGO
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State | CA
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Zip | 92134-4826
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Country | US
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Telephone | 619-556-8090
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Fax | 619-556-8627
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Provider Business Mailing Address
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Address Line | 4440 TWAIN AVE APT 164
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City | SAN DIEGO
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State | CA
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Zip | 92120-3470
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Country | US
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Telephone | 571-225-2843
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Fax | 619-556-8627
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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 | 0024165791
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024165791
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License Number State | VA
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