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General NPI Number Information
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NPI Number | 1417821356
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Entity Type | Individual
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Provider Name | JOSEPH B JIMENEZ
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Gender | Male
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 6330 RUGBY AVE STE 200
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-6938
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Country | US
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Telephone | 323-826-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 12815 OAK ST APT F
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City | WHITTIER
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State | CA
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Zip | 90602-2920
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Country | US
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Telephone | 323-826-6300
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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