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General NPI Number Information
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NPI Number | 1043480965
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Entity Type | Individual
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Provider Name | JENNIFER MARIE JONES OVERSTREET M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | ONE HOAG DRIVE HOAG MEMORIAL HOSPITAL PRESBYTERIAN
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City | NEWPORT BEACH
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State | CA
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Zip | 92658
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Country | US
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Telephone | 949-645-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 471 OLD NEWPORT BLVD STE 302
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4244
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Country | US
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Telephone | 949-645-3534
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A90694
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License Number State | CA
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