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General NPI Number Information
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NPI Number | 1417410655
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Entity Type | Individual
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Provider Name | CAROLE L JENKINS APRN
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Gender | Female
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1665 DR MARTIN LUTHER KING JR BLVD STE 12
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-7126
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Country | US
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Telephone | 561-720-2443
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Fax | 561-877-5042
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Provider Business Mailing Address
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Address Line | 1665 DR MARTIN LUTHER KING JR BLVD STE 12
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-7126
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Country | US
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Telephone | 561-720-2443
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Fax | 561-877-5042
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP11002116
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11002116
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License Number State | FL
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