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General NPI Number Information
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NPI Number | 1326580317
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Entity Type | Individual
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Provider Name | JENNIFER GEORGIA LYNN SABOVICH RN
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 9187 COCKATOO AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6511
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Country | US
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Telephone | 714-264-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 9187 COCKATOO AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6511
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Country | US
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Telephone | 714-264-8555
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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 | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 791337
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 791337
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 791337
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 791337
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 791337
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 791337
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 791337
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | 791337
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 791337
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License Number State | CA
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