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General NPI Number Information
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NPI Number | 1982227096
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Entity Type | Individual
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Provider Name | JAYLYN MICHELLE HINSON
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Gender | Female
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 616 BROOKHAVEN DR
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City | CORONA
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State | CA
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Zip | 92879-8578
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Country | US
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Telephone | 951-235-4332
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Fax |
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Provider Business Mailing Address
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Address Line | 28936 OLD TOWN FRONT ST STE 104
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City | TEMECULA
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State | CA
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Zip | 92590-2890
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Country | US
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Telephone | 951-235-4332
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 5493
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License Number State | CA
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