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General NPI Number Information
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NPI Number | 1104701663
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Entity Type | Individual
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Provider Name | JACQUELINE BRUCE
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Gender |
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1675 DUNLAWTON AVE
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City | PORT ORANGE
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State | FL
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Zip | 32127-4755
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Country | US
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Telephone | 386-232-8943
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Fax |
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Provider Business Mailing Address
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Address Line | 802 E 21ST AVE
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-3512
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT31789
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License Number State | FL
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