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General NPI Number Information
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NPI Number | 1952884504
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Entity Type | Organization
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Legal Business Name | SAPPHIRE JC GLOBAL NURSING INC
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 17777 CENTER COURT DR S STE 600
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 310-462-9224
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Fax | 951-808-9445
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Provider Business Mailing Address
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Address Line | 13866 CASABLANCA CT
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City | CORONA
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State | CA
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Zip | 92880-8515
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Country | US
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Telephone | 310-462-9224
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Fax | 951-808-9445
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Authorized Official
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Title or Position | OWNER
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Name | LINDA JACKSON
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Credential | NP
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Telephone | 909-808-9445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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