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General NPI Number Information
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NPI Number | 1578908331
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Entity Type | Individual
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Provider Name | JESSIKA MARILYN FOLLEY LPN
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Gender | Female
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 1976 SHERIDAN DR APT 8
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City | KENMORE
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State | NY
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Zip | 14223-1226
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Country | US
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Telephone | 716-449-6291
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Fax |
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Provider Business Mailing Address
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Address Line | 264 S LA CIENEGA BLVD SUITE 909
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3302
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Country | US
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Telephone | 716-449-6291
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 401301760911
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 343175281011R
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN.152897-M-IV
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 315941
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License Number State | NY
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