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General NPI Number Information
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NPI Number | 1508757055
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Entity Type | Individual
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Provider Name | JASMINE LADHAR
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Gender |
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 39420 LIBERTY ST STE 252
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City | FREMONT
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State | CA
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Zip | 94538-2297
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Country | US
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Telephone | 510-745-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 WILLOW PASS RD STE 200
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City | CONCORD
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State | CA
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Zip | 94520-7923
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Country | US
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Telephone | 925-338-7928
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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