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General NPI Number Information
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NPI Number | 1780067967
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Entity Type | Individual
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Provider Name | DAWN BRIGHT LVN, RCFE
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 519 IOWA ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-5227
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Country | US
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Telephone | 510-289-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 519 IOWA ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-5227
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Country | US
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Telephone | 510-289-9202
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 287936
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 287936
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 287936
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 287936
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 5564237740
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 287936
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 287936
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 287936
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License Number State | CA
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