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General NPI Number Information
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NPI Number | 1851603187
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Entity Type | Individual
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Provider Name | DIONNE LYNETTA JAMISON RN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 2931 LOUELLA AVE
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City | DAYTON
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State | OH
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Zip | 45417-4215
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Country | US
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Telephone | 937-263-0583
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Fax |
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Provider Business Mailing Address
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Address Line | 5520 NORTHFORD RD
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City | DAYTON
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State | OH
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Zip | 45426-1108
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Country | US
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Telephone | 937-529-4501
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 136492
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License Number State | OH
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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 | 429490
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License Number State | OH
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