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General NPI Number Information
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NPI Number | 1073156394
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Entity Type | Individual
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Provider Name | JANE DUMONT MCMILLAN APRN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 855 S US HIGHWAY 17 92
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City | LONGWOOD
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State | FL
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Zip | 32750-5500
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Country | US
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Telephone | 407-751-2297
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Fax | 727-525-1015
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Provider Business Mailing Address
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Address Line | PO BOX 522643
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City | LONGWOOD
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State | FL
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Zip | 32752-2643
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Country | US
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Telephone | 407-739-1739
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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 | APRN9179598
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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 | APRN9179598
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License Number State | FL
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