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General NPI Number Information
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NPI Number | 1316337363
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Entity Type | Organization
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Legal Business Name | JOCELYNE
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 626 E 39TH ST
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City | BROOKLYN
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State | NY
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Zip | 11203-5614
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Country | US
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Telephone | 347-244-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 626 E 39TH ST
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City | BROOKLYN
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State | NY
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Zip | 11203-5614
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Country | US
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Telephone | 347-244-4877
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Fax |
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Authorized Official
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Title or Position | L.P.N
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Name | MARIE J JEAN-LOUIS
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Credential | NURSE
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Telephone | 347-244-4877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 271969
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License Number State | NY
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