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General NPI Number Information
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NPI Number | 1275710006
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Entity Type | Organization
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Legal Business Name | CHICO FEMINIST WOMEN'S HEALTH CENTER
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 4415 SONOMA HWY SUITE D
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City | SANTA ROSA
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State | CA
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Zip | 95409-7100
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Country | US
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Telephone | 707-537-1174
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 494369
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City | REDDING
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State | CA
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Zip | 96049-4369
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATRINA CANTRELL
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Credential |
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Telephone | 530-222-5570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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