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General NPI Number Information
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NPI Number | 1902266018
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Entity Type | Individual
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Provider Name | JASMINE MARIE MCPHATTER
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Gender | Female
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 760 E BOBIER DR
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City | VISTA
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State | CA
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Zip | 92084-3806
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Country | US
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Telephone | 760-666-4649
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 VIA LUCERO
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City | OCEANSIDE
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State | CA
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Zip | 92056-4265
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Country | US
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Telephone | 562-416-7110
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 11128
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License Number State | CA
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