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General NPI Number Information
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NPI Number | 1902023500
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Entity Type | Individual
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Provider Name | JOYCE FOREST
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1505 W HIGHLAND AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1215
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Country | US
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Telephone | 909-880-2992
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Fax |
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Provider Business Mailing Address
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Address Line | 1863 S LILAC CT
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City | LOMA LINDA
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State | CA
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Zip | 92354-1759
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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