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General NPI Number Information
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NPI Number | 1659815496
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Entity Type | Individual
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Provider Name | JENNIFER C JOSWICK R.E.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 8615 FLORENCE AVE STE 212
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City | DOWNEY
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State | CA
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Zip | 90240-4037
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Country | US
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Telephone | 559-308-5164
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Fax | 888-502-7213
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Provider Business Mailing Address
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Address Line | 5175 MELBOURNE PL
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City | RIVERSIDE
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State | CA
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Zip | 92508-6053
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Country | US
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Telephone | 559-308-5164
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Fax | 888-502-7213
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 8407
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | RE8407
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License Number State | CA
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