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General NPI Number Information
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NPI Number | 1639672926
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Entity Type | Individual
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Provider Name | JOLEEN NICOLE GALEAZZI-PIMENTEL
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Gender | Female
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 5885 HAVEN AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3002
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Country | US
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Telephone | 626-808-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 15589 LA MOINE ST
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5903
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Country | US
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Telephone | 626-808-5522
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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