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General NPI Number Information
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NPI Number | 1487932141
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Entity Type | Individual
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Provider Name | JASON RICHARD DUTY US NAVY DIVE IDC
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Gender | Male
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 1004 HERMITAGE RD JOINT EXPEDITIONARY BASE LITTLE CREEK BLDG 2052
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City | VIRGINIA BEACH
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State | VA
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Zip | 23459-9100
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Country | US
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Telephone | 740-974-2197
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Fax |
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Provider Business Mailing Address
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Address Line | 11586 WINDCREST LN #2014
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City | SAN DIEGO
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State | CA
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Zip | 92128-6423
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Country | US
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Telephone | 740-974-2197
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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