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General NPI Number Information
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NPI Number | 1053951483
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Entity Type | Individual
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Provider Name | JORDANAH ELAINE RYMEL
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Gender | Female
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 448 GARDEN HWY
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City | YUBA CITY
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State | CA
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Zip | 95991-6348
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Country | US
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Telephone | 530-702-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 2928 HAMMONTON SMARTVILLE RD SPC 57
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City | MARYSVILLE
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State | CA
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Zip | 95901-8028
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Country | US
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Telephone | 530-812-4548
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | D7836599
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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