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General NPI Number Information
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NPI Number | 1811860323
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Entity Type | Individual
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Provider Name | JASON MEOLA DNP, APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 30300 CAMINO CAPISTRANO
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1304
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Country | US
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Telephone | 949-240-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 31351 RANCHO VIEJO RD STE 201
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1858
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Country | US
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Telephone | 949-240-2030
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Fax | 949-429-7627
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95035953
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License Number State | CA
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