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General NPI Number Information
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NPI Number | 1043943525
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Entity Type | Individual
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Provider Name | JASMINE PAUTHENA OKAFOR LMT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 21601 VANOWEN ST STE 207
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City | CANOGA PARK
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State | CA
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Zip | 91303-2753
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Country | US
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Telephone | 888-890-0043
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Fax | 818-698-3900
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Provider Business Mailing Address
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Address Line | 15030 VENTURA BLVD # 295
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5470
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Country | US
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Telephone | 888-890-0043
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Fax | 818-698-3900
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 80067
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License Number State | CA
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