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General NPI Number Information
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NPI Number | 1508703588
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Entity Type | Organization
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Legal Business Name | JET PRO SOLUTION
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 20631 VENTURA BLVD STE 302
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6626
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Country | US
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Telephone | 818-293-8780
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Fax | 818-350-5308
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Provider Business Mailing Address
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Address Line | PO BOX 7011
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City | WOODLAND HILLS
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State | CA
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Zip | 91365-7011
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Country | US
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Telephone | 818-293-8780
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Fax | 818-350-5308
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Authorized Official
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Title or Position | CEO
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Name | BEHNAM MIRFAKHRAEI
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Credential |
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Telephone | 818-293-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247000000X
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Taxonomy Name | Health Information Technician
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License Number |
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License Number State |
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