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General NPI Number Information
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NPI Number | 1598051807
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Entity Type | Individual
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Provider Name | ELIZABETH THERESA JASOLOSKY DO
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Gender | Female
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 1 CALIFORNIA ST STE 2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5424
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Country | US
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Telephone | 800-997-6196
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Fax | 415-504-1367
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Provider Business Mailing Address
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Address Line | 1 CALIFORNIA ST STE 2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5424
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Country | US
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Telephone | 800-997-6196
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Fax | 415-504-1367
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO00767
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 83803
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H84356
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 281255-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS018981
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101023703
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 70859
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License Number State | MN
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022006317
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 273844
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License Number State | MA
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T6602
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102203861
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License Number State | VA
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02005242A
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License Number State | IN
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.013114
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License Number State | OH
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022-00187
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License Number State | NC
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB09629500
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License Number State | NJ
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