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General NPI Number Information
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NPI Number | 1295062206
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Entity Type | Individual
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Provider Name | JASON PATRICK NUMMI DC
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Gender | Male
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 4747 MISSION BLVD STE 1
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City | SAN DIEGO
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State | CA
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Zip | 92109-2541
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Country | US
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Telephone | 858-866-3345
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Fax | 858-866-3347
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Provider Business Mailing Address
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Address Line | 4747 MISSION BLVD STE 1
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City | SAN DIEGO
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State | CA
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Zip | 92109-2541
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Country | US
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Telephone | 858-866-3345
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Fax | 858-866-3347
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5263
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34813
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License Number State | CA
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