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General NPI Number Information
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NPI Number | 1306008404
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Entity Type | Organization
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Legal Business Name | JOVE MEDICAL, INC.
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 12300 HIGHWAY A1A ALT SUITE 112
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2205
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Country | US
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Telephone | 561-803-7600
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Fax | 561-803-7672
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Provider Business Mailing Address
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Address Line | 12300 HIGHWAY A1A ALT SUITE 112
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2205
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Country | US
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Telephone | 561-803-7600
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Fax | 561-803-7672
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DEBORAH A COLLINS
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Credential | ARNP, NP-C
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Telephone | 561-803-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ARNP2961972
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License Number State | FL
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