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General NPI Number Information
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NPI Number | 1013015973
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Entity Type | Individual
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Provider Name | JENNIFER L KOSKINEN A.P.R.N., C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1317 EDGEWATER DR # 3642
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 321-475-4844
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Fax | 866-504-9297
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Provider Business Mailing Address
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Address Line | 1317 EDGEWATER DR # 3642
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 321-475-4844
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Fax | 866-504-9297
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 001104
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 208
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 11029051
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License Number State | FL
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