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General NPI Number Information
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NPI Number | 1578145397
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Entity Type | Individual
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Provider Name | JESSICA PADOVER MS
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2570 N 1ST ST FL 2
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City | SAN JOSE
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State | CA
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Zip | 95131-1035
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Country | US
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Telephone | 866-673-2992
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Fax |
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Provider Business Mailing Address
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Address Line | 11915 GORHAM AVE APT 9
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City | LOS ANGELES
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State | CA
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Zip | 90049-5367
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Country | US
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Telephone | 480-262-8392
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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