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General NPI Number Information
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NPI Number | 1295367357
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Entity Type | Individual
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Provider Name | JENNIFER ZAMORA COLGAN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 24600 SILVER CLOUD CT STE 104
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City | MONTEREY
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State | CA
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Zip | 93940-6555
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Country | US
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Telephone | 831-645-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 9120 JUDICIAL DR UNIT 7211
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City | SAN DIEGO
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State | CA
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Zip | 92122-6703
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Country | US
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Telephone | 760-216-3393
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 5916
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17371
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 36104
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License Number State | CA
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