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General NPI Number Information
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NPI Number | 1073441655
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Entity Type | Individual
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Provider Name | MS. JAMELENE MARIE DEVERA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3845 SPRING DR
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City | SPRING VALLEY
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State | CA
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Zip | 91977-1030
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Country | US
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Telephone | 619-972-3687
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Fax |
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Provider Business Mailing Address
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Address Line | 11928 VIA HACIENDA
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City | EL CAJON
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State | CA
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Zip | 92019-4095
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Country | US
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Telephone | 619-972-7018
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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