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General NPI Number Information
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NPI Number | 1003355710
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Entity Type | Individual
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Provider Name | JOSSENER JOSEPH
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Gender | Male
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 13837 SHEFFIELD ST
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City | WELLINGTON
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State | FL
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Zip | 33414-7643
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Country | US
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Telephone | 561-818-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 13837 SHEFFIELD ST
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City | WELLINGTON
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State | FL
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Zip | 33414-7643
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Country | US
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Telephone | 561-818-4151
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP9221394
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9221394
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License Number State | FL
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