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General NPI Number Information
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NPI Number | 1346858669
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Entity Type | Individual
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Provider Name | JESSICA EUNICE RAGASA CAAMPUED APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 7800 S RED RD STE 229
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5528
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Country | US
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Telephone | 305-851-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 15320 SW 49TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3642
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Country | US
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Telephone | 954-635-8801
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11007550
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License Number State | FL
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