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General NPI Number Information
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NPI Number | 1356550081
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Entity Type | Individual
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Provider Name | JESSICA LOEROP PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3301 TAMIAMI TRL E COLLIER GOV'T CENTER - BLDG H
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City | NAPLES
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State | FL
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Zip | 34112-3969
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Country | US
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Telephone | 239-732-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 14182 FALL CREEK CT
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City | NAPLES
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State | FL
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Zip | 34114-8623
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Country | US
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Telephone | 239-775-5558
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 9102666
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License Number State |
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