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General NPI Number Information
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NPI Number | 1013252410
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Entity Type | Individual
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Provider Name | JESSICA MARIE VALENTE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 550 POPE AVE NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881
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Country | US
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Telephone | 863-293-2144
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Fax | 863-293-3732
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Provider Business Mailing Address
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Address Line | 1245 FLORAL WAY
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City | APOPKA
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State | FL
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Zip | 32703-6619
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Country | US
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Telephone | 813-205-5737
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9199204
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9199204
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License Number State | FL
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