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General NPI Number Information
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NPI Number | 1295992006
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Entity Type | Individual
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Provider Name | JASON JOHN FERINE MSPT
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Gender | Male
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 2300 WESTWOOD BLVD STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90064-2045
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Country | US
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Telephone | 424-365-2083
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Fax | 424-325-5225
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Provider Business Mailing Address
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Address Line | 2300 WESTWOOD BLVD STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90064-2045
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Country | US
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Telephone | 424-365-2083
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Fax | 424-325-5225
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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 | 029361-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8295
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 35755
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License Number State | CA
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