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General NPI Number Information
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NPI Number | 1073467692
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Entity Type | Individual
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Provider Name | JASON DEL GESSO LMT
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Gender | Male
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Dates
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Enumeration Date | 02/21/2026
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 414 TENNESSEE ST
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City | REDLANDS
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State | CA
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Zip | 92373-8163
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Country | US
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Telephone | 951-544-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 1699 E WASHINGTON ST APT 3191
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City | COLTON
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State | CA
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Zip | 92324-6469
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Country | US
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Telephone | 931-494-7062
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 74145
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License Number State | CA
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