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General NPI Number Information
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NPI Number | 1679996508
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Entity Type | Organization
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Legal Business Name | JOCYLANE DINSAY RN NP INC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 435 ARDEN AVE STE 360
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City | GLENDALE
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State | CA
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Zip | 91203-1145
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Country | US
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Telephone | 818-723-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 925 VISTA DEL VALLE RD
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City | LA CANADA
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State | CA
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Zip | 91011
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Country | US
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Telephone | 818-723-0733
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOCYLANE DINSAY
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Credential |
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Telephone | 818-723-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | CA
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