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General NPI Number Information
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NPI Number | 1003050329
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Entity Type | Individual
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Provider Name | MRS. JOI NOREEN NICHOLS
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Gender | Female
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 9150 EAST IMPERIAL HIGHWAY , ROOM P-31
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City | DOWNEY
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State | CA
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Zip | 90242
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Country | US
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Telephone | 562-940-3694
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Fax | 562-658-7425
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Provider Business Mailing Address
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Address Line | 3606 W. EXPOSITION BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016
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Country | US
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Telephone | 213-342-3114
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Fax | 323-296-3049
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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