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General NPI Number Information
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NPI Number | 1336304401
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Entity Type | Individual
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Provider Name | JESSICA Z. GAZZOLA A.P.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 200 N DENNING DR SUITE 7
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City | WINTER PARK
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State | FL
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Zip | 32789-3736
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Country | US
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Telephone | 407-883-8873
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Fax | 407-523-6103
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Provider Business Mailing Address
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Address Line | 7517 SUMMER LAKES CT
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City | ORLANDO
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State | FL
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Zip | 32835-5137
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Country | US
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Telephone | 407-883-8873
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Fax | 407-523-6103
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2337
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License Number State | FL
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