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General NPI Number Information
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NPI Number | 1477792745
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Entity Type | Individual
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Provider Name | JASMINE E ANTHONY PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3574
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Country | US
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Telephone | 240-965-3694
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0003210
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License Number State | MD
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