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General NPI Number Information
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NPI Number | 1760303192
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Entity Type | Individual
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Provider Name | JASMINE N/A PAKTAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 326 E FOOTHILL BLVD
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City | AZUSA
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State | CA
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Zip | 91702-2515
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Country | US
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Telephone | 714-363-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 6281 PRISCILLA DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-2846
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Country | US
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Telephone | 714-363-2665
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT28781
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License Number State | CA
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