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General NPI Number Information
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NPI Number | 1063093425
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Entity Type | Individual
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Provider Name | JAKE BENNETT MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2021
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 8787 BRYAN DAIRY RD STE 250
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City | SEMINOLE
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State | FL
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Zip | 33777-1259
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Country | US
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Telephone | 727-391-6296
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Fax | 813-635-7940
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-7496
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME159087
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License Number State | FL
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