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General NPI Number Information
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NPI Number | 1174410161
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Entity Type | Individual
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Provider Name | JASMIN P PARRA RDH
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Gender | Female
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Dates
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Enumeration Date | 06/21/2025
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 208 GREEN VALLEY RD
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City | FREEDOM
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State | CA
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Zip | 95019-3135
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Country | US
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Telephone | 831-728-0222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1652
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City | WATSONVILLE
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State | CA
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Zip | 95077-1652
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Country | US
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Telephone | 831-840-5092
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 35987
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License Number State | CA
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