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General NPI Number Information
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NPI Number | 1154078251
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Entity Type | Individual
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Provider Name | JASMINE MARSHALL RBT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 9981 CHEMSTRAND RD
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City | PENSACOLA
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State | FL
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Zip | 32514-2702
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Country | US
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Telephone | 786-525-6658
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Fax |
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Provider Business Mailing Address
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Address Line | 99 GRANDE POINTE CIR
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City | INLET BEACH
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State | FL
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Zip | 32461-7379
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Country | US
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Telephone | 850-896-3873
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-196665
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License Number State | AL
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