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General NPI Number Information
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NPI Number | 1902140007
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Entity Type | Individual
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Provider Name | JASON THOMAS SPEAKS PHD, FNP-C, RN
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 750 SPAANS DR STE C, D AND F
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City | GALT
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State | CA
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Zip | 95632-8609
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Country | US
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Telephone | 209-744-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 1191 MALCOLM DIXON RD
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-3821
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Country | US
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Telephone | 415-696-1696
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 22258
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 22258
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 824970
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 22258
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 22258
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22258
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 22258
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License Number State | CA
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