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General NPI Number Information
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NPI Number | 1770985798
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Entity Type | Individual
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Provider Name | JASKAREN MAHAL
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 820 E STATE HIGHWAY 88 STE 700
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City | JACKSON
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State | CA
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Zip | 95642-2134
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Country | US
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Telephone | 209-223-7040
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Fax | 209-223-7606
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Provider Business Mailing Address
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Address Line | 820 E STATE HIGHWAY 88 STE 700
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City | JACKSON
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State | CA
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Zip | 95642-2134
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Country | US
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Telephone | 209-223-7040
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Fax | 209-223-7606
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPF95025582
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95025582
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License Number State | CA
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