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General NPI Number Information
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NPI Number | 1407602303
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Entity Type | Organization
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Legal Business Name | IDEAL HORMONE
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 401 N MILLS AVE STE B
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City | ORLANDO
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State | FL
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Zip | 32803-5735
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Country | US
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Telephone | 407-734-2546
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Fax |
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Provider Business Mailing Address
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Address Line | 1446 WATERVIEW RIDGE CIR
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City | APOPKA
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State | FL
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Zip | 32703-6235
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Country | US
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Telephone | 203-954-9845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNY JEAN-FRANCOIS
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Credential | NP
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Telephone | 203-954-9845
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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 |
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License Number State |
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