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General NPI Number Information
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NPI Number | 1104617083
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Entity Type | Individual
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Provider Name | JLEA DINON RN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 35 MAXWELL DR
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City | CLIFTON PARK
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State | NY
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Zip | 12065-4061
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Country | US
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Telephone | 518-881-0581
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Fax | 844-465-1217
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Provider Business Mailing Address
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Address Line | 24 SANDALWOOD LN
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City | GLENVILLE
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State | NY
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Zip | 12302-5406
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Country | US
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Telephone | 518-281-1810
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 592272
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License Number State | NY
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