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General NPI Number Information
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NPI Number | 1386782175
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Entity Type | Organization
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Legal Business Name | JEAN-FELERT CADET MD, PA
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1226 SW MAIN BLVD
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City | LAKE CITY
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State | FL
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Zip | 32025-6684
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Country | US
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Telephone | 386-719-6843
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Fax | 386-719-6656
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Provider Business Mailing Address
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Address Line | 1226 SW MAIN BLVD
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City | LAKE CITY
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State | FL
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Zip | 32025-6684
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Country | US
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Telephone | 386-719-6843
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Fax | 386-719-6656
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JEAN-FELERT CADET
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Credential | MD
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Telephone | 386-719-6843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME070974
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License Number State | FL
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