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General NPI Number Information
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NPI Number | 1851586556
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Entity Type | Individual
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Provider Name | JENNIFER JEAN PEDLEY DC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 700 EAST REDLANDS BLVD STE U
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City | REDLANDS
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State | CA
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Zip | 92373-5541
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Country | US
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Telephone | 909-353-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 940 FLORENCE RD
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City | LIVERMORE
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State | CA
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Zip | 94550-5541
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Country | US
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Telephone | 312-218-1358
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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 | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 038010539
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 3977
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 010597
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 31467
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License Number State | CA
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