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General NPI Number Information
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NPI Number | 1952270449
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Entity Type | Individual
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Provider Name | JENNIFER IBOS PPS
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1715 QUESADA WAY
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City | BURLINGAME
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State | CA
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Zip | 94010-5799
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Country | US
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Telephone | 650-259-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 556 PALMETTO AVE
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City | PACIFICA
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State | CA
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Zip | 94044-1842
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Country | US
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Telephone | 562-706-7411
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | CA
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