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General NPI Number Information
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NPI Number | 1205745460
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Entity Type | Individual
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Provider Name | JANINE JOYCE E ESTIPONA
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 309 E 2ND ST
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City | POMONA
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State | CA
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Zip | 91766-1854
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Country | US
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Telephone | 415-748-7781
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Fax |
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Provider Business Mailing Address
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Address Line | 424 W PICO BLVD APT 209
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City | LOS ANGELES
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State | CA
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Zip | 90015-4152
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Country | US
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Telephone | 415-748-7781
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | CA
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