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General NPI Number Information
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NPI Number | 1134643281
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Entity Type | Individual
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Provider Name | JENNIFER VO APRN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 315 NOKOMIS AVE S
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City | VENICE
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State | FL
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Zip | 34285-2417
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Country | US
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Telephone | 941-477-4007
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Fax | 877-239-7174
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Provider Business Mailing Address
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Address Line | PO BOX 22025
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City | TAMPA
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State | FL
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Zip | 33622-2025
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Country | US
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Telephone | 419-477-4007
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Fax | 877-239-7174
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9112422
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License Number State | FL
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