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General NPI Number Information
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NPI Number | 1801336433
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Entity Type | Individual
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Provider Name | JAYME JO JOHNSON DMD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 164 KINMAN AVE
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City | GOLETA
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State | CA
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Zip | 93117-3481
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Country | US
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Telephone | 805-617-7898
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Fax | 805-617-7899
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Provider Business Mailing Address
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Address Line | 414 E COTA ST FL 1
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1624
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Country | US
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Telephone | 805-617-7898
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Fax | 805-617-7899
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | D14011
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License Number State | MN
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