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General NPI Number Information
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NPI Number | 1053245258
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Entity Type | Individual
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Provider Name | JADE NJIE
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 41-550 ECLECTIC PALM DESERT, CA 92260
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City | ECLECTIC PALM DESERT
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State | CA
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Zip | 19018
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Country | US
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Telephone | 760-299-5181
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Fax |
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Provider Business Mailing Address
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Address Line | 17 S DIAMOND ST
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City | CLIFTON HEIGHTS
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State | PA
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Zip | 19018-2323
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Country | US
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Telephone | 215-796-5403
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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