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General NPI Number Information
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NPI Number | 1134519499
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Entity Type | Organization
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Legal Business Name | JEAN JACQUES RAJTER, M.D.,P.A.
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 1001 S ANDREWS AVE SUITE 100
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-1015
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Country | US
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Telephone | 954-906-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 350605
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City | FT LAUDERDALE
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State | FL
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Zip | 33335-0605
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Country | US
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Telephone | 954-906-6000
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JESSICA BARONA
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Credential |
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Telephone | 954-803-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME97122
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME96997
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License Number State | FL
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