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General NPI Number Information
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NPI Number | 1073038527
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Entity Type | Individual
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Provider Name | JOANNE EPPS-YENTZ LVN
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Gender | Female
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Dates
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Enumeration Date | 08/06/2017
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Last Update Date | 08/06/2017
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Provider Practice Location Address
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Address Line | 7414 MESA COLLEGE DR. APT 47
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City | SAN DIEGO
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State | CA
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Zip | 92111
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Country | US
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Telephone | 858-722-8026
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Fax | 855-581-8047
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Provider Business Mailing Address
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Address Line | 7414 MESA COLLEGE DR. APT 47
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City | SAN DIEGO
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State | CA
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Zip | 92111
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Country | US
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Telephone | 858-722-8026
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Fax | 855-581-8047
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 280483
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License Number State | CA
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