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General NPI Number Information
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NPI Number | 1760713358
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Entity Type | Individual
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Provider Name | JAZZELINE NICOLE PEREZ DPT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 31 STRAWBERRY HILL AVE
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City | STAMFORD
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State | CT
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Zip | 06902-2681
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Country | US
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Telephone | 203-516-0953
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Fax | 203-763-1744
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Provider Business Mailing Address
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Address Line | 31 STRAWBERRY HILL AVE
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City | STAMFORD
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State | CT
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Zip | 06902-2681
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Country | US
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Telephone | 203-516-0953
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Fax | 203-763-1744
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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 | 008612
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License Number State | CT
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