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General NPI Number Information
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NPI Number | 1225526239
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Entity Type | Individual
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Provider Name | JESSICA LYNN KALAROVICH
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Gender | Female
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2140 KINGSLEY AVE STE 2
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City | ORANGE PARK
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State | FL
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Zip | 32073-5129
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Country | US
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Telephone | 904-375-1963
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Fax | 904-375-1614
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Provider Business Mailing Address
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Address Line | 2140 KINGSLEY AVE STE 2
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City | ORANGE PARK
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State | FL
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Zip | 32073-5129
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Country | US
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Telephone | 904-375-1963
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Fax | 904-375-1614
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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 | APRN9324344
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9324344
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License Number State | FL
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