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General NPI Number Information
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NPI Number | 1164929121
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Entity Type | Individual
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Provider Name | JESSICA NICOLE DURON-BELL
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Gender | Female
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 12917 CERISE AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-5520
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Country | US
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Telephone | 310-675-4431
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Fax | 310-675-4434
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Provider Business Mailing Address
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Address Line | 2656 E 55TH WAY APT 20
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City | LONG BEACH
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State | CA
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Zip | 90805-5027
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Country | US
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Telephone | 562-541-5998
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Fax | 310-675-4434
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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