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General NPI Number Information
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NPI Number | 1679387047
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Entity Type | Individual
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Provider Name | JENNIFER M HOVIS CMT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 856 HEALTH SCIENCES RD STE 2600
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City | IRVINE
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State | CA
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Zip | 92617-3058
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Country | US
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Telephone | 949-824-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 S IRMA ST
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City | VISALIA
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State | CA
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Zip | 93292-1382
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Country | US
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Telephone | 559-972-2984
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 47224
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License Number State | CA
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