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General NPI Number Information
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NPI Number | 1710284989
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Entity Type | Individual
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Provider Name | DANIEL FRED JARAMILLO II P.A.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 2888 EUREKA WAY SUITE 100
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City | REDDING
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State | CA
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Zip | 96001-0210
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Country | US
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Telephone | 530-243-7600
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Fax | 530-242-0808
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Provider Business Mailing Address
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Address Line | PO BOX 1156
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City | COTTONWOOD
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State | CA
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Zip | 96022-1156
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Country | US
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Telephone | 530-241-0473
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Fax | 530-241-5377
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA21480
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License Number State | CA
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