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General NPI Number Information
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NPI Number | 1033140884
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Entity Type | Individual
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Provider Name | MRS. MARIE JOYNER NELSEN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 1901 SOLAR DR STE 265
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City | OXNARD
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State | CA
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Zip | 93036-2692
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Country | US
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Telephone | 805-746-4667
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Fax |
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Provider Business Mailing Address
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Address Line | 10423 TULSA CIR
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City | VENTURA
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State | CA
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Zip | 93004-2401
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Country | US
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Telephone | 805-901-3819
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 16053
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License Number State | CA
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