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General NPI Number Information
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NPI Number | 1780394346
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Entity Type | Individual
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Provider Name | JASMINE WOODCOCK RBT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | #A1-5414 1110 NUUANU AVENUE
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-271-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 740 E GENERAL STEWART WAY STE 103
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City | HINESVILLE
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State | GA
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Zip | 31313-2636
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Country | US
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Telephone | 425-449-3098
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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