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NPI 1093165896

NPI 1093165896 : JARED ESKEW PT, DPT : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1093165896
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    Entity Type          |    Individual 
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    Provider Name        |    JARED ESKEW PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2016
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    Last Update Date     |    06/14/2023
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Provider Practice Location Address
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    Address Line         |    8200 STOCKDALE HWY STE B1
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-1091
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    Country              |    US
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    Telephone            |    661-827-8959
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    Fax                  |    661-827-1779
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Provider Business Mailing Address
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    Address Line         |    3400 CALLOWAY DR STE 603 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93312-2514
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    Country              |    US
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    Telephone            |    661-873-7975
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    Fax                  |    805-788-0845
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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       |    PT291460
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    License Number State |    CA
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