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General NPI Number Information
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NPI Number | 1407856123
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Entity Type | Individual
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Provider Name | JAIME LEIGH TRIOLO-BONE APRN
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 7125 MURRELL RD STE E
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City | MELBOURNE
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State | FL
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Zip | 32940-7999
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Country | US
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Telephone | 321-434-9571
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Fax | 321-434-9275
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone |
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Fax | 321-951-7408
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN9166430
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APRN9166430
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License Number State | FL
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