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General NPI Number Information
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NPI Number | 1457673337
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Entity Type | Individual
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Provider Name | JAMIE MARLENE HOWDER NURSE PRACTITONER
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Gender | Female
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 350 TERRACINA BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-4850
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Country | US
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Telephone | 909-335-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST SUITE 900
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City | EMERYVILLE
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State | CA
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Zip | 94608-1826
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Country | US
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Telephone | 510-350-2600
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Fax | 510-879-9100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19671
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License Number State | CA
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