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General NPI Number Information
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NPI Number | 1770302960
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Entity Type | Organization
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Legal Business Name | JAZZK ESSENTIALS
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 112 HELEN DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6638
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Country | US
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Telephone | 845-820-7468
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Fax |
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Provider Business Mailing Address
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Address Line | 112 HELEN DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6638
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Country | US
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Telephone | 845-820-7468
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAZMIN OGARRO
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Credential | CERTIFIED WIG MAKER
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Telephone | 845-820-7468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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