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General NPI Number Information
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NPI Number | 1992118293
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Entity Type | Individual
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Provider Name | LAQUIA MONIQUE JENKINS CMT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 6060 SUNRISE VISTA DR STE 2180
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7057
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Country | US
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Telephone | 916-548-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 6060 SUNRISE VISTA DR STE 2180
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7057
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Country | US
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Telephone | 916-548-6018
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 15067
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 15067
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 15067
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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