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General NPI Number Information
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NPI Number | 1194370130
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Entity Type | Individual
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Provider Name | JOCELYN BEATRIZ MEJIA
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1 W WATER ST STE 201
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City | WAKEFIELD
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State | MA
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Zip | 01880-2930
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Country | US
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Telephone | 781-731-1726
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Fax |
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Provider Business Mailing Address
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Address Line | 1 W WATER ST STE 201
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City | WAKEFIELD
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State | MA
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Zip | 01880-2930
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2320349
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License Number State | MA
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