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General NPI Number Information
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NPI Number | 1053776757
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Entity Type | Individual
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Provider Name | JASMIN DESAI PT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 1101 S WINCHESTER BLVD STE L237
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City | SAN JOSE
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State | CA
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Zip | 95128-3904
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Country | US
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Telephone | 213-280-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 TECHNOLOGY DR UNIT 4094
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City | SAN JOSE
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State | CA
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Zip | 95110-3823
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Country | US
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Telephone | 562-506-8253
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 43525
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License Number State | CA
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