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General NPI Number Information
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NPI Number | 1043079676
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Entity Type | Organization
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Legal Business Name | JUVY JABEL NP IN FAMILY HEALTH
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 274 MADISON AVE STE 601B
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City | NEW YORK
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State | NY
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Zip | 10016-0701
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Country | US
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Telephone | 917-993-4771
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W END AVE APT 4G
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City | NEW YORK
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State | NY
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Zip | 10023-6350
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Country | US
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Telephone | 720-879-8756
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Fax |
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Authorized Official
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Title or Position | NP
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Name | JUVY JABEL
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Credential |
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Telephone | 720-879-8756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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