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General NPI Number Information
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NPI Number | 1295286771
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Entity Type | Individual
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Provider Name | JACOB CERNY-GARCIA C-AA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 7700 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-4113
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Country | US
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Telephone | 800-437-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 621 NE 28TH ST APT 2
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City | WILTON MANORS
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State | FL
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Zip | 33334-2545
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Country | US
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Telephone | 305-308-5421
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA 356
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License Number State | FL
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