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General NPI Number Information
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NPI Number | 1629533682
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Entity Type | Individual
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Provider Name | JIARRA MARASIGAN-PASET
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Gender | Female
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 4952 WARNER AVE STE 300
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-5506
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Country | US
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Telephone | 714-576-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 4952 WARNER AVE STE 300
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-5506
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Country | US
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Telephone | 714-576-7455
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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 | 1-21-55550
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 17-36675
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License Number State |
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