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General NPI Number Information
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NPI Number | 1801336128
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Entity Type | Individual
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Provider Name | JOCELYNE RENEE O'CONNOR FNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 4341 GOLDEN CENTER DR
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City | PLACERVILLE
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State | CA
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Zip | 95667-6260
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Country | US
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Telephone | 530-626-1144
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 45680
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City | SAN FRANCISCO
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State | CA
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Zip | 94145-0680
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Country | US
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Telephone | 530-626-1144
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Fax | 530-748-0326
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95006277
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License Number State | CA
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