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General NPI Number Information
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NPI Number | 1104544683
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Entity Type | Individual
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Provider Name | JASMINE N DUGAT MSPS, CNA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 2325 C5 ATASCOCITA RD
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City | HUMBLE
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State | TX
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Zip | 77396
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Country | US
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Telephone | 936-257-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 WILSON RD STE 300
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City | HUMBLE
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State | TX
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Zip | 77396-1972
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Country | US
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Telephone | 936-402-2585
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 1688-0822
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA0060054910
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License Number State | TX
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