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General NPI Number Information
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NPI Number | 1982426763
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Entity Type | Individual
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Provider Name | CELINA RENE BRIDGES
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 4701 NAVAHO CT
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City | DENAIR
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State | CA
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Zip | 95316-9371
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Country | US
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Telephone | 209-501-3077
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 NAVAHO CT
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City | DENAIR
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State | CA
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Zip | 95316-9371
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Country | US
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Telephone | 209-501-3077
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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