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General NPI Number Information
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NPI Number | 1962747139
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Entity Type | Individual
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Provider Name | JANE NJOKI CHERRIOKEE LVN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 716 SOUTH WEBSTER AVE #206
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City | ANAHEIM
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State | CA
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Zip | 92804
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Country | US
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Telephone | 714-396-9374
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Fax |
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Provider Business Mailing Address
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Address Line | 229 S DELANO ST APT 1
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City | ANAHEIM
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State | CA
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Zip | 92804-1763
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Country | US
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Telephone | 714-396-9374
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 193136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95287824
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License Number State | CA
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