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General NPI Number Information
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NPI Number | 1326449117
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Entity Type | Individual
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Provider Name | JEFFREY ROSS RN/ACNP/CNS
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Gender | Male
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 14900 SW 30TH ST UNIT 277615
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City | MIRAMAR
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State | FL
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Zip | 33027-7203
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Country | US
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Telephone | 386-627-5771
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Fax |
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Provider Business Mailing Address
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Address Line | 11708 SPOTTED MARGAY AVE
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City | VENICE
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State | FL
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Zip | 34292-4169
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Country | US
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Telephone | 626-354-6463
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Fax | 209-579-5637
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11031684
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 364SE0003X
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Taxonomy Name | Emergency Clinical Nurse Specialist
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License Number | 0001250803
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License Number State | VA
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