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General NPI Number Information
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NPI Number | 1134004385
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Entity Type | Individual
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Provider Name | JEFF ANDREW BALDO YEPEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 161 N CAUSEWAY STE A
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-5328
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Country | US
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Telephone | 386-424-1584
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 GOLDEN PARK LN
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City | TALLAHASSEE
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State | FL
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Zip | 32303-3687
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Country | US
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Telephone | 850-559-4003
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11039434
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License Number State | FL
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