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General NPI Number Information
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NPI Number | 1912531021
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Entity Type | Organization
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Legal Business Name | JBEAR MD
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 106 NOLAND CT
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City | LYONS
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State | CO
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Zip | 80540-3802
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Country | US
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Telephone | 720-414-0744
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Fax | 435-355-3645
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Provider Business Mailing Address
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Address Line | 106 NOLAND CT
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City | LYONS
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State | CO
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Zip | 80540-3802
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Country | US
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Telephone | 720-414-0744
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Fax | 435-355-3645
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Authorized Official
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Title or Position | OWNER
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Name | JOCELYN ELIZABETH BEAR
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Credential | MD
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Telephone | 720-414-0744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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