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NPI 1821943069

NPI 1821943069 : BARDISON ENTERPRISES, INC. : GRASS VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1821943069
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARDISON ENTERPRISES, INC. 
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Dates
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    Enumeration Date     |    03/03/2026
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    Last Update Date     |    03/03/2026
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Provider Practice Location Address
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    Address Line         |    10042 WOLF RD. STE C
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    City                 |    GRASS VALLEY
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    State                |    CA
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    Zip                  |    95949
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    Country              |    US
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    Telephone            |    530-268-8983
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    Fax                  |    530-652-5021
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Provider Business Mailing Address
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    Address Line         |    10042 WOLF RD. STE C
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    City                 |    GRASS VALLEY
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    State                |    CA
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    Zip                  |    95949
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    Country              |    US
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    Telephone            |    530-268-8983
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    Fax                  |    530-652-5021
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Authorized Official
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    Title or Position    |    OWNER, DIRECTOR OF OPERATIONS
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    Name                 |     MELISSA  JAMISON 
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    Credential           |    
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    Telephone            |    530-268-8983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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