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General NPI Number Information
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NPI Number | 1427891316
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Entity Type | Individual
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Provider Name | JASMINE ANTOINETTE KEEFER
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 12400 HIGH BLUFF DR
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City | SAN DIEGO
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State | CA
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Zip | 92130-3077
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Country | US
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Telephone | 866-871-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 LAS POSITAS RD
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4105
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Country | US
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Telephone | 951-204-9218
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 49248
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License Number State | CA
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