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General NPI Number Information
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NPI Number | 1164177077
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Entity Type | Individual
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Provider Name | JOYCELYN TIONG LVN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 8353 WIND FLOWER WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-4026
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Country | US
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Telephone | 916-640-4915
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Fax |
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Provider Business Mailing Address
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Address Line | 8353 WIND FLOWER WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-4026
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Country | US
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Telephone | 916-640-4915
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 703354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 104561
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License Number State | CA
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