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“Independent Duty Corpsman” (Imperial Beach, CA)

Location: Imperial Beach, CA
Taxonomy: Independent Duty Corpsman.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1528365095 — MS. TAMARA DEE THACKER IDC
Practice Location Address:
1128 EMORY ST
IMPERIAL BEACH CA
91932-3324
Practice Phone: 619-948-5154
1598394975 — JORDAN KNOPPERT IDC
Practice Location Address:
1498 13TH STREET NOLF BLDG 193
IMPERIAL BEACH CA
91932-3798
Practice Phone: 619-437-9845
1841594942 — MR. BENEDICT JOVELLANO JACOB
Practice Location Address:
1 HOOPER BLVD
IMPERIAL BEACH CA
91932-1050
Practice Phone: 619-628-8447
1952128639 — RAYMOND MENDOZA
Practice Location Address:
1457 HEMLOCK AVE APT B
IMPERIAL BEACH CA
91932-3852
Practice Phone: 209-292-3652

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