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General NPI Number Information
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NPI Number | 1538968862
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Entity Type | Individual
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Provider Name | JEFFREY ZHAO PPS
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Gender | Male
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1301 EL DORADO ST
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City | CRESCENT CITY
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State | CA
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Zip | 95531-2110
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Country | US
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Telephone | 360-872-7626
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 NW 22ND AVE
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City | CAMAS
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State | WA
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Zip | 98607-7420
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Country | US
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Telephone | 360-872-7626
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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