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General NPI Number Information
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NPI Number | 1083031348
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Entity Type | Individual
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Provider Name | JENNIFER M MATHEWS M.S.,C.G.C.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD RM M-354
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-294-5050
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Fax | 352-392-3051
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Provider Business Mailing Address
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Address Line | 2225 NW 16TH TER
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City | GAINESVILLE
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State | FL
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Zip | 32605-4026
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Country | US
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Telephone | 386-212-0893
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Fax | 352-392-3051
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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