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General NPI Number Information
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NPI Number | 1255517157
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Entity Type | Individual
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Provider Name | JACQUELINE JANE BARTLETT NURSE
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Gender | Female
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 20 WEST LUCERNE CIRCLE APT 414
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City | ORLANDO
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State | FL
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Zip | 32801
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Country | US
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Telephone | 407-864-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 20 W LUCERNE CIR APT 414
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City | ORLANDO
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State | FL
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Zip | 32801-3728
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Country | US
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Telephone | 407-864-2770
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5153837
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License Number State | FL
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