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General NPI Number Information
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NPI Number | 1295065902
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Entity Type | Individual
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Provider Name | JASMINE MARIE REESE MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 9350 CAMELOT DR
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City | FORT MYERS
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State | FL
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Zip | 33919-7980
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Country | US
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Telephone | 239-481-5437
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Fax | 239-481-0570
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Provider Business Mailing Address
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Address Line | 13740 CYPRESS TERRACE CIR
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City | FORT MYERS
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State | FL
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Zip | 33907-8827
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Country | US
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Telephone | 239-275-5522
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Fax | 239-275-4464
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R71613
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 124530
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 31535
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License Number State | AL
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