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General NPI Number Information
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NPI Number | 1255859252
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Entity Type | Individual
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Provider Name | JASMINE DABUET
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 68 WILLOW RD
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City | MENLO PARK
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State | CA
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Zip | 94025-3653
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Country | US
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Telephone | 866-839-6979
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Fax |
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Provider Business Mailing Address
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Address Line | 6482 WILLOUGHBY CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-9305
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Country | US
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Telephone | 561-385-7052
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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