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General NPI Number Information
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NPI Number | 1437227303
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Entity Type | Individual
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Provider Name | JARROD WILLIAM MEEKS L.V.N., W.C.C.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 45120 DESERT FOX DR
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City | LA QUINTA
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State | CA
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Zip | 92253-4552
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Country | US
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Telephone | 760-409-5568
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Fax | 760-888-9329
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Provider Business Mailing Address
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Address Line | 45120 DESERT FOX DR
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City | LA QUINTA
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State | CA
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Zip | 92253-4552
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Country | US
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Telephone | 760-409-5568
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Fax | 760-888-9329
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN206909
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License Number State | CA
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