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General NPI Number Information
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NPI Number | 1356291009
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Entity Type | Individual
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Provider Name | JENNIFER BOLING DPT
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 3650 N ACCESS RD
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City | ENGLEWOOD
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State | FL
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Zip | 34224-8655
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Country | US
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Telephone | 941-460-3831
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Fax | 941-218-5627
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Provider Business Mailing Address
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Address Line | 816 E 3RD ST
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4407
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Country | US
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Telephone | 517-376-0322
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43152
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License Number State | FL
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