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General NPI Number Information
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NPI Number | 1043666092
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Entity Type | Individual
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Provider Name | JAIME ZELEDON N.P.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1695 S SAN JACINTO AVE STE A-CD
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City | SAN JACINTO
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State | CA
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Zip | 92583-5103
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Country | US
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Telephone | 951-330-3100
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Fax | 951-380-8596
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Provider Business Mailing Address
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Address Line | 7726 WHITNEY DR
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-5434
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Country | US
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Telephone | 626-827-7324
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95004298
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004298
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License Number State | CA
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