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General NPI Number Information
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NPI Number | 1205580602
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Entity Type | Individual
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Provider Name | JASMINA ANANDPARA
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Gender | Female
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Dates
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Enumeration Date | 02/05/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1801 ATLANTIC AVE FL 3
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-6804
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Country | US
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Telephone | 609-540-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 ATLANTIC AVE FL 3
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-6804
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06411300
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License Number State | NJ
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