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General NPI Number Information
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NPI Number | 1174449763
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Entity Type | Organization
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Legal Business Name | DR. BEVERLY JEAN-JACQUES, LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 500 E LAS OLAS BLVD APT 808
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2572
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Country | US
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Telephone | 954-278-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E LAS OLAS BLVD APT 808
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2572
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. BEVERLY JEAN-JACQUES
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Credential | DR.
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Telephone | 954-278-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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