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General NPI Number Information
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NPI Number | 1528874971
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Entity Type | Individual
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Provider Name | JEMYA DANIELLE MCCLENDON
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3643 N ROXBORO ST FL 6
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City | DURHAM
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State | NC
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Zip | 27704-2702
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Country | US
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Telephone | 919-470-9159
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Fax |
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Provider Business Mailing Address
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Address Line | 306 ESTES DRIVE EXT APT C10
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City | CARRBORO
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State | NC
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Zip | 27510-1442
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Country | US
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Telephone | 630-615-8749
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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