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General NPI Number Information
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NPI Number | 1487454013
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Entity Type | Individual
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Provider Name | JEFFREY PASCAL APN
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3500 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-2017
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Country | US
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Telephone | 214-820-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 30 GAIT CT
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City | TINTON FALLS
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State | NJ
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Zip | 07753-7654
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1192683
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 1192683
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License Number State | TX
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