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General NPI Number Information
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NPI Number | 1083934855
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Entity Type | Individual
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Provider Name | LENA BHARAT JESRANI MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 20833 LONG BRANCH DR
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City | COTTONWOOD
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State | CA
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Zip | 96022-8701
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Country | US
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Telephone | 530-527-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 SISTER MARY COLUMBA DR
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City | RED BLUFF
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State | CA
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Zip | 96080-4356
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Country | US
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Telephone | 530-527-0414
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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 | 19382
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License Number State | CA
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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 | NP19382
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License Number State | CA
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