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NPI Profile for JAY A DEDEKER in OOLTEWAH, TN.
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist |
225500000X |
| NPI Number | 1831416395 |
|
| Status | Active | |
| Credentials | MSS | |
| Entity | Individual | |
| Enumeration date | 04/23/2010 | |
| Last updated | 04/23/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JAY A DEDEKER
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JAY A DEDEKER, MSS