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General NPI Number Information
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NPI Number | 1437683828
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Entity Type | Individual
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Provider Name | JENNIFER JUNE YOZAMP-METTER CLC, CCSC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 10921 WILSHIRE BLVD STE 1203
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City | LOS ANGELES
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State | CA
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Zip | 90024-4005
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Country | US
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Telephone | 800-322-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 21500 CALIFA ST UNIT 191
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4959
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Country | US
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Telephone | 541-598-5477
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | OOO
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License Number State |
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