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General NPI Number Information
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NPI Number | 1649069881
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Entity Type | Individual
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Provider Name | JOCELYN DE ANDA CD, CLC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 640 S STATE ST
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City | DOVER
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State | DE
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Zip | 19901-3530
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Country | US
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Telephone | 302-674-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 35 S CAESAR RODNEY AVE
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City | CAMDEN
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State | DE
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Zip | 19934-1111
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Country | US
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Telephone | 505-280-7809
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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