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General NPI Number Information
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NPI Number | 1245114701
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Entity Type | Individual
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Provider Name | JESSICA ELAINE NASEMENTO RN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1520 PATTERSON AVE
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City | CORCORAN
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State | CA
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Zip | 93212-1722
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Country | US
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Telephone | 559-992-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 848 N ARBOR DR
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City | TULARE
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State | CA
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Zip | 93274-2307
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Country | US
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Telephone | 559-759-5540
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 95345091
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License Number State | CA
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