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General NPI Number Information
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NPI Number | 1730482183
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Entity Type | Individual
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Provider Name | ELIZABETH CHRISTINE JIMENEZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2485 VENTURA BLVD
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City | CAMARILLO
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State | CA
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Zip | 93010-6650
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Country | US
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Telephone | 805-364-0889
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Fax | 805-200-4434
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Provider Business Mailing Address
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Address Line | 1361 W 9TH AVE APT 1000
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City | ESCONDIDO
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State | CA
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Zip | 92029-2215
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Country | US
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Telephone | 508-410-4720
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 51547
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License Number State | CA
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