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General NPI Number Information
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NPI Number | 1073367132
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Entity Type | Individual
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Provider Name | JASMINE GARRISON OD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 3602 S 19TH ST
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City | TACOMA
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State | WA
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Zip | 98405-1919
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Country | US
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Telephone | 253-759-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 4806 N VASSAULT ST
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City | TACOMA
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State | WA
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Zip | 98407-1222
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0004063
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6623
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 61673832
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License Number State | WA
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