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General NPI Number Information
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NPI Number | 1720881493
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Entity Type | Individual
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Provider Name | DAWN MICHELLE BRYAN RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 85 DECLARATION DR STE 110
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City | CHICO
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State | CA
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Zip | 95973-4964
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Country | US
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Telephone | 530-894-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 2747 RAFAEL ST
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City | CHICO
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State | CA
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Zip | 95973-1142
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Country | US
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Telephone | 530-514-9777
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95033090
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 599816
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License Number State | CA
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