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NPI Code Detail

MEDICARE: JAZMINE DOMINGUEZ

MEDICARE: JAZMINE DOMINGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1710817929
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMINE DOMINGUEZ
Provider Business Mailing Address
First Line : 224 W 35TH ST STE 500
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2538
Country : US
Telephone Number : 833-646-3222
Fax Number : 833-646-3222
Provider Business Practice Location Address
First Line : 2240 BUSH DR STE 200
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7547
Country : US
Telephone Number : 833-646-3222
Fax Number : 833-646-3222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ JAZMINE DOMINGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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