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General NPI Number Information
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NPI Number | 1093652836
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Entity Type | Individual
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Provider Name | ALEXIS THERESA JAKOVICH
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 33333 GOLDEN LANTERN
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City | DANA POINT
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State | CA
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Zip | 92629-1840
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Country | US
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Telephone | 949-496-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 33122 VALLE RD
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-4859
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 220183568
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License Number State | CA
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