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General NPI Number Information
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NPI Number | 1952318537
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Entity Type | Individual
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Provider Name | JENNELL JOE BOCKENSTEDT OD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 700 CASS ST STE 101
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City | MONTEREY
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State | CA
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Zip | 93940-2900
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Country | US
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Telephone | 831-641-7252
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Fax | 831-288-1178
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Provider Business Mailing Address
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Address Line | 48 W ROMIE LANE
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City | SALINAS
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State | CA
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Zip | 93901-8314
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Country | US
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Telephone | 831-424-0834
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Fax | 831-424-4994
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12790
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License Number State | CA
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