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General NPI Number Information
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NPI Number | 1215810874
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Entity Type | Organization
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Legal Business Name | TESTOSTERONE & CO
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1428 VALENTINE ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3130
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Country | US
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Telephone | 321-262-0847
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Fax |
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Provider Business Mailing Address
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Address Line | 1428 VALENTINE ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3130
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Country | US
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Telephone | 321-262-0847
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | JESSICA JANUSZEWSKI
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Credential | APRN
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Telephone | 516-592-0902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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