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General NPI Number Information
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NPI Number | 1235554171
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Entity Type | Individual
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Provider Name | JASMIN GARCIA
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Gender | Female
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Dates
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Enumeration Date | 03/02/2014
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 680 E COLORADO BLVD STE 180&2ND
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City | PASADENA
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State | CA
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Zip | 91101-6143
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Country | US
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Telephone | 646-941-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 5377 MANZANAR AVE
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City | PICO RIVERA
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State | CA
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Zip | 90660-2662
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Country | US
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Telephone | 323-806-4344
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 88955
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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