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General NPI Number Information
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NPI Number | 1114892817
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Entity Type | Organization
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Legal Business Name | SARASOTA MENOPAUSE SPECIALIST
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1219 S EAST AVE STE 201
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City | SARASOTA
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State | FL
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Zip | 34239-2355
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Country | US
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Telephone | 941-367-4024
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Fax | 574-406-7381
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Provider Business Mailing Address
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Address Line | 761 SIESTA KEY CIR
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City | SARASOTA
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State | FL
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Zip | 34242-1249
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Country | US
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Telephone | 941-367-4024
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Fax | 574-406-7381
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER LYNN MILLER
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Credential | APRN
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Telephone | 941-228-2741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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