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General NPI Number Information
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NPI Number | 1184697062
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Entity Type | Individual
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Provider Name | JENIFER EIMMERMAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 4200 NW 90TH BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32606-3809
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Country | US
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Telephone | 352-378-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 9444 SW 27TH RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-7969
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Country | US
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Telephone | 954-232-6757
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A11323
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8792
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | OS8792
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License Number State | FL
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