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General NPI Number Information
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NPI Number | 1306727771
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Entity Type | Organization
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Legal Business Name | A NURSE JEAN, LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2722 ALDINE CIR
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City | LAKELAND
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State | FL
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Zip | 33801-2801
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Country | US
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Telephone | 305-509-2959
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Fax | 863-204-5723
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Provider Business Mailing Address
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Address Line | 2722 ALDINE CIR
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City | LAKELAND
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State | FL
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Zip | 33801-2801
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Country | US
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Telephone | 305-509-2959
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Fax | 863-204-5723
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Authorized Official
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Title or Position | RN
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Name | JEAN LUIS
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Credential | RN
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Telephone | 305-509-2959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number |
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License Number State |
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