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General NPI Number Information
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NPI Number | 1184989295
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Entity Type | Individual
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Provider Name | JENNIFER NASRIN PAUL D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 3261 U.S. HWY. 27/441 SUITE A1
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City | FRUITLAND PARK
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State | FL
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Zip | 34731
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Country | US
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Telephone | 352-750-1200
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Fax | 352-750-1611
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Provider Business Mailing Address
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Address Line | 3261 U.S. HWY. 27/441 SUITE A1
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City | FRUITLAND PARK
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State | FL
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Zip | 34731
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Country | US
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Telephone | 352-750-1200
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Fax | 352-750-1611
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00701700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10657
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License Number State | FL
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