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General NPI Number Information
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NPI Number | 1942151691
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Entity Type | Individual
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Provider Name | JASMINE ELLISON
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 115 E 10TH ST
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City | LINDEN
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State | NJ
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Zip | 07036-3302
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Country | US
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Telephone | 908-408-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 971 US HIGHWAY 202 N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone |
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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