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NPI Code Detail

MEDICARE: JULIA JASINSKI

MEDICARE:   JULIA  JASINSKI
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
1175T00000XPeer SpecialistAPS.003772OH

General Provider Information

NPI Number : 1780451195
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA JASINSKI
Provider Business Mailing Address
First Line : 6840 US ROUTE 40
Second Line :
City : TIPP CITY
State : OH
Zip : 45371-9771
Country : US
Telephone Number : 937-503-5708
Fax Number :
Provider Business Practice Location Address
First Line : 1532 GLENBECK AVE APT 1
Second Line :
City : DAYTON
State : OH
Zip : 45409-1715
Country : US
Telephone Number : 937-999-5295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2023
Last Update Date : 12/06/2023

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Directions to “ JULIA JASINSKI ” Practice Location

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