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General NPI Number Information
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NPI Number | 1063011799
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Entity Type | Individual
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Provider Name | JORDAN CHELSEY DOUGLAS
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 460 N MCKINLEY ST
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City | CORONA
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State | CA
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Zip | 92879-3405
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Country | US
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Telephone | 951-531-9693
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Fax |
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Provider Business Mailing Address
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Address Line | 770 S GRAND AVE APT 5066
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City | LOS ANGELES
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State | CA
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Zip | 90017-3949
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Country | US
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Telephone | 678-749-9540
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 105748
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License Number State | CA
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