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General NPI Number Information
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NPI Number | 1194007955
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE BERNIER BSN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 235 E ROWAN AVE STE 107
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City | SPOKANE
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State | WA
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Zip | 99207-1240
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Country | US
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Telephone | 509-252-6446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 421
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-0421
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Country | US
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Telephone | 509-838-4651
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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 | RN00097770
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 00097770
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61592288
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License Number State | WA
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