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General NPI Number Information
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NPI Number | 1255054847
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Entity Type | Individual
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Provider Name | JENNIFER GAYLE NAVARRO APRN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 15701 STATE ROAD 50 STE 101
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City | CLERMONT
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State | FL
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Zip | 34711-9203
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Country | US
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Telephone | 407-347-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 810 RED HAVEN LN
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City | OVIEDO
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State | FL
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Zip | 32765-2000
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Country | US
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Telephone | 407-747-1147
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN9265169
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License Number State | FL
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