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General NPI Number Information
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NPI Number | 1407355571
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Entity Type | Individual
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Provider Name | JESSICA AARONSON
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Gender | Female
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 3630 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2609
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Country | US
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Telephone | 310-900-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 4547 JACKSOL DR
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City | SAN JOSE
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State | CA
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Zip | 95124-3339
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Country | US
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Telephone | 408-218-2527
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95008171
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License Number State | CA
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