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General NPI Number Information
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NPI Number | 1265418826
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Entity Type | Individual
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Provider Name | STEPHEN JACOB PASQUINI PA
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 115A CORAL ST
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2131
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Country | US
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Telephone | 831-454-2080
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Fax | 831-454-3424
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Provider Business Mailing Address
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Address Line | 467 EL CAMINO REAL
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City | GREENFIELD
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State | CA
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Zip | 93927-4915
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Country | US
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Telephone | 831-674-0112
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Fax | 831-674-4199
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17531
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License Number State | CA
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