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General NPI Number Information
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NPI Number | 1649134859
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Entity Type | Individual
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Provider Name | JASMINE KHUU NP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 204 GREEN VALLET RD
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City | FREEDOM
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State | CA
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Zip | 95019-3135
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Country | US
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Telephone | 831-728-2005
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Fax | 831-728-3310
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Provider Business Mailing Address
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Address Line | 4829 W 132ND ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-5040
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Country | US
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Telephone | 424-675-1757
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN95299794
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License Number State | CA
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