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General NPI Number Information
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NPI Number | 1144129941
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Entity Type | Individual
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Provider Name | JAICEE MAEGAN WIEGAND
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Gender | Female
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-535-1859
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Fax |
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Provider Business Mailing Address
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Address Line | 1945 MARSEILLE DR APT 4
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3587
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Country | US
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Telephone | 406-799-2206
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 1012
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License Number State | FL
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