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General NPI Number Information
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NPI Number | 1295497006
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Entity Type | Individual
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Provider Name | JESUS ANTONIO PALACIOS PEREZ APRN
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Gender | Male
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2326 S CONGRESS AVE STE 1A
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7652
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Country | US
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Telephone | 561-433-5577
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Fax | 561-275-2696
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Provider Business Mailing Address
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Address Line | 2326 S CONGRESS AVE STE 1A
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7652
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Country | US
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Telephone | 561-433-5577
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Fax | 561-275-2696
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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 | APRN11041269
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | HSE32281
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License Number State | FL
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