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General NPI Number Information
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NPI Number | 1164070470
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Entity Type | Individual
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Provider Name | JASMINE WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2711 EXCHANGE CT STE A
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4017
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Country | US
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Telephone | 561-408-3115
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Fax | 561-816-4315
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Provider Business Mailing Address
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Address Line | 1522 LAKE CRYSTAL DR APT B
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2081
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Country | US
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Telephone | 561-232-0492
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12579552
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License Number State | FL
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