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General NPI Number Information
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NPI Number | 1205327392
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Entity Type | Individual
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Provider Name | JEETEN P JAMNADAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 1900 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-1444
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Country | US
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Telephone | 407-405-6575
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-1444
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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 |
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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 | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | ME156292
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License Number State | FL
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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 | R-11139
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License Number State | IA
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