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General NPI Number Information
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NPI Number | 1376080333
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Entity Type | Individual
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Provider Name | JASMIN PERRY ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 15280 DURANGO CIR
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City | BROOKSVILLE
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State | FL
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Zip | 34604-5003
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Country | US
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Telephone | 727-457-0758
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Fax |
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Provider Business Mailing Address
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Address Line | 15280 DURANGO CIR
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City | BROOKSVILLE
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State | FL
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Zip | 34604-5003
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Country | US
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Telephone | 727-457-0758
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9311097
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9311097
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | APRN9311097
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License Number State | FL
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