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NPI 1790466811

NPI 1790466811 : JILLION SHERIE MEADORS-CURTIS : EUREKA, CA

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General NPI Number Information
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    NPI Number           |    1790466811
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    Entity Type          |    Individual 
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    Provider Name        |    JILLION SHERIE MEADORS-CURTIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2023
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    1802 CALIFORNIA ST 
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    City                 |    EUREKA
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    State                |    CA
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    Zip                  |    95501-2808
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    Country              |    US
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    Telephone            |    707-443-7358
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2005 
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    City                 |    EUREKA
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    State                |    CA
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    Zip                  |    95502-2005
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    Country              |    US
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    Telephone            |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    148428
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    License Number State |    CA
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