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General NPI Number Information
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NPI Number | 1073570065
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Entity Type | Individual
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Provider Name | JILL JAYNES AP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 1575 INDIAN RIVER BLVD SUITE C136
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City | VERO BEACH
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State | FL
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Zip | 32960-7126
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Country | US
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Telephone | 772-770-6184
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Fax | 772-770-6310
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Provider Business Mailing Address
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Address Line | 1575 INDIAN RIVER BLVD SUITE C136
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City | VERO BEACH
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State | FL
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Zip | 32960-7126
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Country | US
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Telephone | 772-770-6184
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Fax | 772-770-6310
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1864
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License Number State | FL
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