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General NPI Number Information
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NPI Number | 1477374502
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Entity Type | Individual
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Provider Name | JASMINE WHALEY RDH, RDHAP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 43265 20TH ST W APT 33
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City | LANCASTER
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State | CA
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Zip | 93534-5902
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Country | US
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Telephone | 424-375-0520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 900094
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City | PALMDALE
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State | CA
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Zip | 93590-0094
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Country | US
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Telephone | 424-375-0520
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 1004
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License Number State | CA
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