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General NPI Number Information
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NPI Number | 1295629657
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Entity Type | Individual
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Provider Name | JACQUELINE DANIELLE LOUIMAIRE ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2801 17TH ST STE 202
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4939
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Country | US
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Telephone | 407-906-1328
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Fax | 407-906-1328
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Provider Business Mailing Address
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Address Line | 3321 WHITESTONE CIR UNIT 206
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City | KISSIMMEE
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State | FL
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Zip | 34741-7802
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Country | US
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Telephone | 407-791-4921
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11039790
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License Number State | FL
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