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General NPI Number Information
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NPI Number | 1396475265
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Entity Type | Individual
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Provider Name | JESSICA JOYNER
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 405 MOMANY DR
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-2178
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Country | US
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Telephone | 269-982-1947
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PILOS
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-9039
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Country | US
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Telephone | 949-338-7954
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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