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General NPI Number Information
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NPI Number | 1104524883
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Entity Type | Individual
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Provider Name | JASMINE SHAWNECE KING
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Gender | Female
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 8375 NW 53RD TER
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City | DORAL
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State | FL
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Zip | 33166-4851
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Country | US
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Telephone | 305-689-8375
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 564
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City | BELLE GLADE
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State | FL
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Zip | 33430-0564
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Country | US
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Telephone | 561-449-9661
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11026392
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License Number State | FL
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