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General NPI Number Information
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NPI Number | 1235296153
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Entity Type | Organization
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Legal Business Name | JUST LADIES HEALTHCARE, P.A.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1304 N LAWNWOOD CIR
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City | FORT PIERCE
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State | FL
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Zip | 34950-4884
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Country | US
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Telephone | 772-489-6636
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Fax | 772-489-5749
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Provider Business Mailing Address
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Address Line | 1304 N LAWNWOOD CIR
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City | FORT PIERCE
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State | FL
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Zip | 34950-4884
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Country | US
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Telephone | 772-489-6636
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Fax | 772-489-5749
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIETTE LOMAX-HOMIER
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Credential | MD
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Telephone | 772-489-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME0048841
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License Number State | FL
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