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General NPI Number Information
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NPI Number | 1730073958
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Entity Type | Individual
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Provider Name | JEANNETTE TAFFIN RN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 5653 BRUSHTON ST
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City | LOS ANGELES
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State | CA
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Zip | 90008-1004
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Country | US
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Telephone | 323-923-7648
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Fax |
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Provider Business Mailing Address
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Address Line | 5653 BRUSHTON ST
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City | LOS ANGELES
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State | CA
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Zip | 90008-1004
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Country | US
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Telephone | 323-923-7648
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 484713
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 484713
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 484713
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 484713
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License Number State | CA
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