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General NPI Number Information
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NPI Number | 1922738723
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Entity Type | Individual
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Provider Name | JHERIANNE PRESTON ND
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 4190 BONITA RD STE 206
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City | BONITA
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State | CA
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Zip | 91902-1340
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Country | US
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Telephone | 619-773-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 851 BROOKDALE LN
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City | STANLEY
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State | NC
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Zip | 28164-7807
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Country | US
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Telephone | 734-286-5846
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1331
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License Number State | CA
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