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General NPI Number Information
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NPI Number | 1205328101
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Entity Type | Individual
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Provider Name | JAMIE LEIGH DEUCHLER NP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 64-1032 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8441
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Country | US
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Telephone | 808-885-1878
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Fax | 808-887-1857
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Provider Business Mailing Address
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Address Line | PO BOX 6149
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City | KAMUELA
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State | HI
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Zip | 96743-6149
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Country | US
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Telephone | 808-885-1878
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Fax | 808-887-1857
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-3260
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00826600
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License Number State | NJ
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