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General NPI Number Information
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NPI Number | 1316655954
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Entity Type | Individual
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Provider Name | JASMINE EAPEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 4601 MEDICAL CENTER DR STE F
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City | MCKINNEY
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State | TX
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Zip | 75069-1771
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Country | US
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Telephone | 469-731-0957
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 SUNSET BLVD APT 7302
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City | ROWLETT
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State | TX
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Zip | 75088-1272
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Country | US
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Telephone | 863-660-5663
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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