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General NPI Number Information
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NPI Number | 1083018204
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Entity Type | Individual
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Provider Name | JOCELYN C PROTOPAPPAS RDN, MSW, MPH
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Gender | Female
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5160 1/2 W POINT LOMA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92107-1315
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Country | US
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Telephone | 717-683-8314
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Fax |
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Provider Business Mailing Address
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Address Line | 5160 1/2 W POINT LOMA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92107-1315
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Country | US
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Telephone | 717-683-8314
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | LD-D-10190590
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI60861109
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License Number State | WA
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