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NPI 1720977747

NPI 1720977747 : JENNIFER L YOCUM LLC : NEW MARKET, MD

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General NPI Number Information
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    NPI Number           |    1720977747
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    Entity Type          |    Organization 
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    Legal Business Name  |    JENNIFER L YOCUM LLC 
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Dates
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    Enumeration Date     |    07/02/2025
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    11670 OLD NATIONAL PIKE 
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    City                 |    NEW MARKET
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    State                |    MD
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    Zip                  |    21774-6121
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    Country              |    US
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    Telephone            |    443-216-9973
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    Fax                  |    443-574-4210
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Provider Business Mailing Address
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    Address Line         |    11123 POND FOUNTAIN CT 
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    City                 |    NEW MARKET
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    State                |    MD
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    Zip                  |    21774-6745
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    Country              |    US
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    Telephone            |    443-216-9973
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    Fax                  |    443-574-4210
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Authorized Official
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    Title or Position    |    LICENSED ACUPUNCTURIST/OWNER
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    Name                 |    DR. JENNIFER LYNN YOCUM 
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    Credential           |    LAC
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    Telephone            |    443-340-0167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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