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General NPI Number Information
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NPI Number | 1659185759
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Entity Type | Individual
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Provider Name | JARRED EVAN CALL
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Gender | Male
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3324 ALABAMA CIR
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City | COSTA MESA
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State | CA
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Zip | 92626-2029
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Country | US
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Telephone | 714-406-3447
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Fax | 714-333-4699
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Provider Business Mailing Address
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Address Line | 10539 LA ROSA CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4814
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Country | US
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Telephone | 714-625-6683
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 307451
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License Number State | CA
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