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General NPI Number Information
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NPI Number | 1306913793
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Entity Type | Individual
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Provider Name | MONICA J. BULLARD CNM
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 2935 BECHELLI LN STE A&C
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City | REDDING
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State | CA
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Zip | 96002-1905
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Country | US
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Telephone | 530-351-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 VIOLA ST
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City | OAKLAND
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State | CA
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Zip | 94619-1122
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Country | US
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Telephone | 510-867-5796
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | NMC 1506
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License Number State | CA
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