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General NPI Number Information
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NPI Number | 1144165002
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Entity Type | Individual
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Provider Name | JESSICA DAWN BERNHARDT CEO, RN, CDP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1272 ARCH WAY
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City | CHICO
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State | CA
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Zip | 95973-8275
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Country | US
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Telephone | 530-592-9083
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Fax |
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Provider Business Mailing Address
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Address Line | 1272 ARCH WAY, CHICO, CA, USA
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City | CHICO
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State | CA
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Zip | 95973
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Country | US
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Telephone | 530-592-9083
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN95090452
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License Number State | CA
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