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General NPI Number Information
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NPI Number | 1093698383
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Entity Type | Individual
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Provider Name | JAMIE ANN BRACEWELL BSN, RNC-OB, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 3056 RAE CREEK DR
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City | CHICO
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State | CA
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Zip | 95973-2109
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Country | US
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Telephone | 707-321-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 3056 RAE CREEK DR
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City | CHICO
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State | CA
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Zip | 95973-2109
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Country | US
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Telephone | 707-321-9828
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L311730
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License Number State | CA
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