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General NPI Number Information
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NPI Number | 1356767685
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Entity Type | Organization
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Legal Business Name | JOYCE WECKL PMHNP A NURSING CORPORATION
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 3585 MAPLE ST SUITE # 205
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City | VENTURA
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State | CA
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Zip | 93003-3504
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Country | US
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Telephone | 805-654-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 3585 MAPLE ST SUITE # 205
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City | VENTURA
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State | CA
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Zip | 93003-3504
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Country | US
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Telephone | 805-654-0926
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOYCE WECKL
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Credential | NP
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Telephone | 805-654-0926
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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 | NP6980
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License Number State | CA
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