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General NPI Number Information
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NPI Number | 1013946862
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Entity Type | Organization
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Legal Business Name | JELLINGER & LERMAN, MD, LLC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 3107 STIRLING ROAD SUITE 300
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312
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Country | US
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Telephone | 954-963-7100
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Fax | 954-337-2361
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Provider Business Mailing Address
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Address Line | 3107 STIRLING ROAD SUITE 300
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312
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Country | US
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Telephone | 954-963-7100
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Fax | 954-337-2361
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL STEPHEN JELLINGER
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Credential | MD
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Telephone | 954-963-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME0021354
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME0022427
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME86320
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME0022389
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License Number State | FL
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